SOLDIERS & SAILORS MEMORIAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SOLDIERS & SAILORS MEMORIAL (EIN 16-0743192)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-12
- IRS object ID
- 201213179349301736
- Schema version
- 2011v1.2
- 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 D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-12T11:48:47-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | 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 | 3157874085 | 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 | PATRICIA P THOMPSON | Name |
| Title | Treasurer and CFO | Title |
| Phone | 3157874031 | Phone |
| Date Signed | 2012-11-12 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Patricia P Thompson | 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 | 34187275 | 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 | Provider of Healthcare Services. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 546 | TotalNbrEmployees |
| Total Nbr Volunteers | 44 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 6040103 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 328055 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 29140134 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 28132801 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 525072 | InvestmentIncomePriorYear |
| Investment Income Current Year | 692631 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1023975 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1099758 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 36729284 | TotalRevenuePriorYear |
| Total Revenue Current Year | 30253245 | 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 | 19902189 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 19818760 | 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 | 11296657 | OtherExpensePriorYear |
| Other Expenses Current Year | 11225034 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 31198846 | TotalExpensesPriorYear |
| Total Expenses Current Year | 31043794 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5530438 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -790549 | RevenuesLessExpensesCY |
| Total Assets BOY | 45826852 | TotalAssetsBOY |
| Total Assets EOY | 43447790 | TotalAssetsEOY |
| Total Liabilities BOY | 25506129 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 26333221 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 20320723 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 17114569 | NetAssetsOrFundBalancesEOY |
| Mission Description | Soldiers & Sailors Memorial Hospital of Yates County is a community owned, not-for-profit hospital dedicated to maintaining and improving the health of all people in the Central Finger Lakes Region. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 27598205 | Expense |
| Revenue | 29232559 | Revenue |
| Description | Patient Service Program - inpatient and outpatient general hospital care. In 2011, Soldiers & Sailors Memorial Hospital of Yates County had 55,941 patient days, 7,666 emergency room visits, 155,146 outpatient procedures and 12,020 outpatient clinic visits. In 2011 Soldiers & Sailors Memorial Hospital of Yates County had Charity Care totaling $88,487 with a Community Benefit valued at $903,969. | Description |
| Total Program Service Expense | 27598205 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | 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 | 0 | 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 | 1 | 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| 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 | 546 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | 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 | Patricia Thompson | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3157874031 | 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 (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Donald Wertman | ||||||||
| Chair | 1.00 | X | X | 0 | 0 | 0 | ||
| Dominic Fonte | ||||||||
| Vice Chair | 1.00 | X | X | 0 | 0 | 0 | ||
| Phil Beckley | ||||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | ||
| Rev James Adams | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| David Bunnell | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Menzo Case | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Richard Catanise | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Stephen DeRaddo | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Donald Gentilcore Jr | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| John Hicks | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Steven Lasser MD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Charles Lilly MD | ||||||||
| Director | 1.00 | X | 279681 | 0 | 2299 | |||
| James Long | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Carolanne Marquis | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Ann McMullen | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Kelly Mittiga | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Paul Bleakley MD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Jason Feinberg MD | ||||||||
| Director through 4/27/11 | 1.00 | X | 0 | 316209 | 19034 | |||
| Suzanne Sinclair | ||||||||
| Chair through 4/27/11 | 1.00 | X | X | 0 | 46423 | 1991 | ||
| Jose Acevedo MD MBA | ||||||||
| President & CEO | 40.00 | X | 0 | 476146 | 23507 | |||
| Patricia Thompson | ||||||||
| Treasurer & CFO | 40.00 | X | 0 | 181284 | 22107 | |||
| Lawrence J Farnand | ||||||||
| Treas&CFO through 4/27/11 | 40.00 | X | 0 | 262414 | 11960 | |||
| Taryn Draxler MD | ||||||||
| Physician | 40.00 | 181529 | 0 | 29554 | X | |||
| Nancy-Jo Rembaum | ||||||||
| CRNA | 40.00 | 140733 | 0 | 9823 | X | |||
| Richard Norris | ||||||||
| Pharmacist | 40.00 | 118498 | 0 | 2957 | X | |||
| Reginald Ewing MD | ||||||||
| Physician | 40.00 | 249535 | 0 | 0 | X | |||
| Magda Daoud MD | ||||||||
| Physician | 40.00 | 201149 | 0 | 12098 | X | |||
| James Dooley | ||||||||
| Former President & CEO | 40.00 | 0 | 361441 | 16480 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1171125 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1643917 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 151810 | 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 | 8263 | RelatedOrganizations |
| Government Grants | 319792 | GovernmentGrants |
| Total Contributions | 328055 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Net Patient Revenue | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 28132801 | TotalRevenueColumn |
| Related Or Exempt Function Income | 28132801 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 28132801 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 284687 | TotalRevenueColumn |
| Exclusion | $284,687 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4303906 | Securities |
| Other | 38068 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3934030 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 369876 | Securities |
| Other | 38068 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 407944 | TotalRevenueColumn |
| Exclusion | $407,944 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Other Revenue | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 1099758 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1099758 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1099758 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 30253245 | TotalRevenueColumn |
| Related Or Exempt Function Income | 29232559 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $692,631 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15567523 | Total |
| Program Services | 13839664 | ProgramServices |
| Management And General | 1727859 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 245236 | Total |
| Program Services | 218017 | ProgramServices |
| Management And General | 27219 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3034481 | Total |
| Program Services | 2697680 | ProgramServices |
| Management And General | 336801 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 971520 | Total |
| Program Services | 863690 | ProgramServices |
| Management And General | 107830 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 261459 | Total |
| Program Services | 232439 | ProgramServices |
| Management And General | 29020 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110111 | Total |
| Program Services | 97890 | ProgramServices |
| Management And General | 12221 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34470 | Total |
| Program Services | 30644 | ProgramServices |
| Management And General | 3826 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18107 | Total |
| Program Services | 16097 | ProgramServices |
| Management And General | 2010 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34787 | Total |
| Program Services | 30926 | ProgramServices |
| Management And General | 3861 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176583 | Total |
| Program Services | 156984 | ProgramServices |
| Management And General | 19599 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 509497 | Total |
| Program Services | 452947 | ProgramServices |
| Management And General | 56550 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4185 | Total |
| Program Services | 3721 | ProgramServices |
| Management And General | 464 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39249 | Total |
| Program Services | 34893 | ProgramServices |
| Management And General | 4356 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 604736 | Total |
| Program Services | 537616 | ProgramServices |
| Management And General | 67120 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2163430 | Total |
| Program Services | 1923308 | ProgramServices |
| Management And General | 240122 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 381167 | Total |
| Program Services | 338861 | ProgramServices |
| Management And General | 42306 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Purchased Services & Le | 2513433 | 2234464 | 278969 |
| Supplies | 2059919 | 1831286 | 228633 |
| Bad Debts | 1512360 | 1344501 | 167859 |
| NYS Receipts Tax | 711900 | 632885 | 79015 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89641 | Total |
| Program Services | 79692 | ProgramServices |
| Management And General | 9949 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31043794 | Total |
| Program Services | 27598205 | ProgramServices |
| Management And General | 3445589 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25403 | BOY |
| EOY | 26020 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1572750 | BOY |
| EOY | 870238 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3009346 | BOY |
| EOY | 3311628 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 375714 | BOY |
| EOY | 219174 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 168651 | BOY |
| EOY | 134779 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 268050 | BOY |
| EOY | 302296 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 57217496 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 37233376 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21278509 | BOY |
| EOY | 19984120 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19128429 | BOY |
| EOY | 18599535 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45826852 | BOY |
| EOY | 43447790 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3222679 | BOY |
| EOY | 3016336 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9847788 | BOY |
| EOY | 9687943 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9717124 | BOY |
| EOY | 9001652 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2718538 | BOY |
| EOY | 4627290 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25506129 | BOY |
| EOY | 26333221 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20320723 | BOY |
| EOY | 17114569 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20320723 | BOY |
| EOY | 17114569 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45826852 | BOY |
| EOY | 43447790 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -790549 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2415605 | 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 |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| 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 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 | 27527930 | OtherCostOrOtherBasis |
| Depreciation | 12645794 | Depreciation |
| Book Value | 14882136 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1906031 | OtherCostOrOtherBasis |
| Depreciation | 1374329 | Depreciation |
| Book Value | 531702 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27384271 | OtherCostOrOtherBasis |
| Depreciation | 23213253 | Depreciation |
| Book Value | 4171018 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 19984120 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (10 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Mortgage Sinking Funds | 2492345 |
| Plant Replacement Investment | 11489326 |
| Reserve for Replacement LTC | 1408257 |
| Escrow Reserve LTC | 80392 |
| Capital Lease | 19906 |
| Construction In Progress | 76644 |
| SSMH Plant Operating Fund | 2151010 |
| 5 Star Money Market | 275279 |
| SSMH Ventures | 328572 |
| Due From Affiliates | 277804 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 18599535 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Additional Pension Liability | $4,255,800 |
| BCR Advance | $371,490 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4627290 | TotalOfAmounts |
| Total Revenue | 30253245 | TotalRevenue |
| Total Expenses | 31043794 | TotalExpenses |
| Excess Or Deficit For Year | -790549 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -506853 | NetUnrealizedGLOnInvestments |
| Other | -$1,908,752 | OtherAmount |
| Total Adjustments | -2415605 | TotalAdjustments |
| Excess Or Deficit Per FS | -3206154 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | Soldiers & Sailors Memorial Hospital implemented FIN48 in 2008 and our current accounting policy for evaluating uncertain tax positions is in accordance with generally accepted accounting principles. SSMH has not recognized any benefits from uncertain tax postiions in 2011 and we believe that we have no uncertain tax positions for which it is reasonably possible that the total amounts of unrecognized tax benefits will significantly increase or decrease within 12 months of the balance sheet date. |
| Part XI, Line 8 - Other Adjustments: | Additional Pension Liability under FASB 158 -1,908,752. | |
| Schedule D, Pg 4, Part XI, Ln 8. Additional Pension Liability |
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 | 0 | ExpensesExceededBudget |
| 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 | 225077 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 136590 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 88487 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10635748 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10507010 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 128738 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00440 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10860825 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10643600 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 217225 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00740 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 227921 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 227921 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00770 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3636817 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3089507 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 547310 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01850 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3864738 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3089507 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 775231 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02620 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14725563 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13733107 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 992456 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03360 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 465 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 465 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 150309 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 150309 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 23 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 23 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 35580 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 35580 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 83854 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 83854 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00280 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 40733 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 40733 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 310964 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 310964 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.01050 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,512,360 | BadDebtExpenseAmount |
| Amount Attributable To | 383079 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 4447225 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 4679741 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -232516 | 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 |
| 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 7: Part I, 7, bMedicaid net community benefit expenseDirect offsetting revenues (net patient service revenue) includes a prior year settlement of $226,446 in revenue. This amount is not matched with current year expenses and therefore understates community benefit expense for 2011 by .77%.P | |
| Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 1512360. | |
| Part II: Part II Community Building Activities:Soldiers & Sailors Memorial Hospital's Community Building activities promote the health of the communities it serves through1. Economic Development: Soldiers & Sailors Memorial Hospital (SSMH) supports economic development in the community, via its membership in the Chamber of Commerce.2. Community Support:a. 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. b. SSMH provides free meeting space and in some instances, facilitation, for various community organizations, such as TOPS, Community Blood Drives, Cancer Support Group, TB and Health Association, as well as providing free space for a Community Fitness Center.3. Environmental Improvements: SSMH accepts sharps from community households and provides proper disposal of same at no cost to the households. 4. Coalition Building:a. Finger Lakes Health, which includes SSMH, Administrative Team members participate in multiple community organizations/partnerships for the betterment of the communities it serves, including the United Way, Red Cross, Visiting Nurse Service, ARC, and Boys & Girls Club, among others.b. Likewise, employees of the organization participate in many community organizations on behalf of SSMH that benefit the health of the community, including the United Way, Regional EMS Councils, Poison Control Council, County Health Planning Council, Cancer Services Partnership, Obesity Task Force, among others. c. SSMH sponsors community non-for-profit activities for organizations such as, but not limited to, the Community Service Day, the Alzheimer's Association, and others.5. Workforce Development:a. Physician Recruitment - expenses associated with efforts to recruit physicians to meet an unmet community need in an underserved population include primary care physicians and specialists such as Psychiatry and Orthopedics.b. Health Careers Program/Workforce Investment - expenses associated with programs, including summer camps and school-to-work experiences for the exploration of health careers by high school students; mentoring of high school and college-age students to provide training in various professions in our facilities; and partnerships with area colleges to provide education/mentoring for students in various health-related careers. | |
| Part III, Line 4: Part III, Section A, 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. Costing 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 (57%). Based upon an analysis of income levels for accounts included in bad debts we estimated that 44% 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 8: Part III, Section B, 8Rationale for including shortfall as community benefit:Medicare payment rates reflect constraints on federal government expenditures. In spite of the significant losses caused by these low rates we provide access to health services for a large segment of our community. We believe this enhancement of population health represents a community benefit.Source of Medicare allowable costs:Cost information is taken from the Medicare cost report. | |
| Part III, Line 9b: Part III, Section C, 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 19d: Part V, 19 dMaximum 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 VI, Line 2: Part VI, 2 Needs assessment:SSMH uses health indicators and utilization data to determine healthcare programs and services to meet the needs of our population. Specific indicators include the New York State Community Health data set on disease incidence and mortality, the Behavior Risk Factor Surveillance System (BRFSS) data set from New York State Department of Health, and Statewide Planning and Research Cooperative System (SPARCS) database for data reported by NYS hospitals. This external data is supplemented by real-time information about our own current service area needs and utilization rates. Finger Lakes Health (FLH) mailed a survey to every household in our service area in the health systems biannual news magazine Family Focus. The Community Advisory Committee addressed many community needs, including access to care, transportation, diabetes, nutrition, childhood obesity, mental health services, cardiovascular risk, and lack of awareness regarding service availability. All the needs identified are addressed in the organization's strategic business plan, as well as our Community Service Plan. We engage an outside firm to conduct patient and resident satisfaction surveys for our inpatient and emergency services. We also conduct an annual Employee Opinion Survey. As the largest employer in our region, our employees are representative of our community at large and are in a unique position to help us identify needs and solutions. We participate in the needs assessment process conducted by multiple area health departments who participated in a wider rural health network to compare data between counties and develop common objectives using MAPP (Mobilizing for Action through Community Planning and Partnership) process to conduct a six county wide needs assessment. Finally, to know the needs of our community, our leadership team is actively engaged in the community through board participation on local and state-wide related organizations which regularly assess needs. Our strategic plan informs our priorities and guides us towards achieving our vision, and is informed by the needs of various stakeholders. This input is incorporated into departmental operations and multi-year plans and ultimately informs our Strategic Business Plan. Through this broad-based input, our health system has been able to evolve and grow to meet the changing needs of our community. | |
| Part VI, Line 3: Part VI, 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: Part VI, 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 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: | |
| Part VI, Line 6: Part VI, 6 Affiliated health system: Services are provided on three campuses located in Geneva, NY (Ontario County), Waterloo, NY (Seneca County) and Penn Yan, NY (Yates County). The health system offers a broad range of primary, specialty and sub-specialty services to residents of Finger Lakes. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| 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 (10 entries)
| 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 | |||||||||||||
| 253181 | 0 | 10000 | 0 | 16500 | 0 | 0 | 0 | 2299 | 0 | 281980 | 0 | 0 | 0 |
| Jason Feinberg MD | |||||||||||||
| 0 | 273131 | 0 | 25978 | 0 | 17100 | 0 | 0 | 0 | 19034 | 0 | 335243 | 0 | 0 |
| Jose Acevedo MD MBA | |||||||||||||
| 0 | 379154 | 0 | 79322 | 0 | 17670 | 0 | 0 | 0 | 23507 | 0 | 499653 | 0 | 0 |
| Patricia Thompson | |||||||||||||
| 0 | 171687 | 0 | 7933 | 0 | 1664 | 0 | 0 | 0 | 22107 | 0 | 203391 | 0 | 0 |
| Lawrence J Farnand | |||||||||||||
| 0 | 183106 | 0 | 62808 | 0 | 16500 | 0 | 0 | 0 | 11960 | 0 | 274374 | 0 | 0 |
| Taryn Draxler MD | |||||||||||||
| 181446 | 0 | 0 | 0 | 83 | 0 | 0 | 0 | 29554 | 0 | 211083 | 0 | 0 | 0 |
| Nancy-Jo Rembaum | |||||||||||||
| 139545 | 0 | 1188 | 0 | 0 | 0 | 0 | 0 | 9823 | 0 | 150556 | 0 | 0 | 0 |
| Reginald Ewing MD | |||||||||||||
| 233035 | 0 | 0 | 0 | 16500 | 0 | 0 | 0 | 0 | 0 | 249535 | 0 | 0 | 0 |
| Magda Daoud MD | |||||||||||||
| 175510 | 0 | 25500 | 0 | 139 | 0 | 0 | 0 | 12098 | 0 | 213247 | 0 | 0 | 0 |
| James Dooley | |||||||||||||
| 0 | 361441 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 16480 | 0 | 377921 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Return Reference | Part III | ReturnReference |
| Explanation | James J. Dooley, Former President & CEO Geneva General Hospital: Average Hours per week: 23.31; Base Compensation:$210,664;Benefits: $9,606 James J. Dooley, Former President & CEO Living Center at Geneva South Inc: Average Hours per week: 2.72; Base Compensation: $24,570; Benefits $1,120 James J. Dooley, Former President & CEO Living Center at Geneva North Inc: Average Hours per week: 1.60; Base Compensation: $14,415; Benefits: $657 James J. Dooley, Former President & CEO Huntington Living Center Inc: Average Hours per week: 3.20; Base Compensation: $28,919; Benefits: $1,319 James J. Dooley, Former Assistant Secretary Finger Lakes Health Foundation Inc: Average Hours per week: .23; Base Compensation: $2,105; Benefits: $96 James J. Dooley, Former President & CEO Soldiers & Sailors Memorial Hospital: Average Hours per week: 8.94; Base Compensation: $80,767; Benefits: $3,683 James J. Dooley, Former President & CEO Finger Lakes Health: Total Average Hours per week: 40; Total Base Compensation: $361,441; Total Benefits: $16,480 Lawrence J. Farnand, Treasurer & CFO Geneva General Hospital: Average Hours per week: 23.31; Base Compensation: $152,946; Benefits: $6,970 Lawrence J. Farnand, Treasurer & CFO Living Center at Geneva South Inc: Average Hours per week: 2.72; Base Compensation: $17,839; Benefits: $813 Lawrence J. Farnand, Treasurer & CFO Living Center at Geneva North Inc: Average Hours per week: 1.60; Base Compensation: $10,466; Benefits: $477 Lawrence J. Farnand, Treasurer & CFO Huntington Living Center Inc: Average Hours per week: 3.20; Base Compensation: $20,996; Benefits: $957 Lawrence J. Farnand, Treasurer Finger Lakes Health Foundation: Average Hours per week: .23; Base Compensation: $1,528; Benefits: $70 Lawrence J. Farnand, Treasurer & CFO Soldiers & Sailors Memorial Hospital: Average Hours per week: 8.94; Base Compensation: $58,639; Benefits: $2,673 Lawrence J. Farnand, Treasurer & CFO Finger Lakes Health: Total Average Hours per week: 40; Total Base Compensation: $262,414; Total Benefits: $11,960 Jose Acevedo MD MBA, President & CEO Geneva General Hospital: Average Hours per week: 23.31; Base Compensation: $277,518; Benefits: $13,700 Jose Acevedo MD MBA, President & CEO Living Center at Geneva South Inc: Average Hours per week: 2.72; Base Compensation: $32,368; Benefits: $1,598 Jose Acevedo MD MBA, President & CEO Living Center at Geneva North Inc: Average Hours per week: 1.60; Base Compensation: $18,990; Benefits: $938 Jose Acevedo MD MBA, President & CEO Huntington Living Center Inc: Average Hours per week: 3.20; Base Compensation: $38,097; Benefits: $1,881 Jose Acevedo MD MBA, Assistant Secretary Finger Lakes Health Foundation: Average Hours per week: .23; Base Compensation: $2,773; Benefits: $137 Jose Acevedo MD MBA, President & CEO Soldiers & Sailors Memorial Hospital: Average Hours per week: 8.94; Base Compensation: $106,399; Benefits: $5,253 Jose Acevedo MD MBA, President & CEO Finger Lakes Health: Total Average Hours per week: 40; Total Base Compensation: $476,146; Total Benefits: $23,507 Patricia Thompson, Treasurer & CFO Geneva General Hospital: Average Hours per week: 23.31; Base Compensation: $105,659; Benefits: $12,884 Patricia Thompson, Treasurer & CFO Living Center at Geneva South Inc: Average Hours per week: 2.72; Base Compensation: $12,324; Benefits: $1,503 Patricia Thompson, Treasurer & CFO Living Center at Geneva North Inc: Average Hours per week: 1.60; Base Compensation: $7,230; Benefits: $882 Patricia Thompson, Treasurer & CFO Huntington Living Center Inc: Average Hours per week: 3.20; Base Compensation: $14,505; Benefits: $1,769 Patricia Thompson, Treasurer Finger Lakes Health Foundation: Average Hours per week: .23; Base Compensation: $1,056; Benefits: $129 Patricia Thompson, Treasurer & CFO Soldiers & Sailors Memorial Hospital: Average Hours per week: 8.94; Base Compensation: $40,509; Benefits: $4,940 Patricia Thompson, Treasurer & CFO Finger Lakes Health: Total Average Hours per week: 40; Total Base Compensation: $181,284; Total Benefits: $22,107 | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FL Visiting Nurse Service | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | CFO serves on Board of Directors | Relationship |
| Sharing Of Revenues | 0 | SharingOfRevenues |
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 prior to being filed to ensure compliance with 990 Internal Revenue Service Review Requirements. | |
| 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 hospital Finance Office or at www.guidestar.org | |
| Form 990, Part XI, line 5: | Net unrealized losses on investments: -506,853. Additional Pension Liability under FASB 158 -1,908,752. Total to Form 990, Part XI, Line 5: -2,415,605. | Changes in Net Assets or Fund Balances: |
| Process is unchanged from prior year. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Geneva General Hospital | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 160743032 | Provider of Healthcare Services | NY | 501 (C) (3) | 3 | Finger Lakes Health 22-3193606 | 0 |
| Finger Lakes Health Foundation | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 150549310 | Coordinator of Fundraising Activities | NY | 501 (C) (3) | 11c | Finger Lakes Health 22-3193606 | 0 |
| Living Center at Geneva South | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 160957268 | Skilled Nursing Facility | NY | 501 (C) (3) | 3 | Finger Lakes Health 22-3193606 | 0 |
| Huntington Living Center | ||||||||||
| 369 E Main Street | Waterloo | NY | 13165 | 510169552 | Skilled Nursing Facility | NY | 501 (C) (3) | 3 | Finger Lakes Health 22-3193606 | 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 Health 22-3193606 | 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 Health 22-3193606 | 0 |
| Living Center at Geneva North Inc | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 161449543 | Skilled Nursing Facility | NY | 501 (C) (3) | 3 | Finger Lakes Health 22-3193606 | 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 Health 22-3193606 | 0 |
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 |
| 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 |
| 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 | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Finger Lakes Health Foundation | |
| C | 8263 |
| Finger Lakes Health Foundation | |
| R | 690115 |
| Geneva General Hospital | |
| Q | 686301 |
| Huntington Living Center | |
| R | 44236 |
| Living Center at Geneva South | |
| R | 44058 |
| Living Center at Geneva North | |
| R | 6623 |
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