2011-11-15T13:01:56-06:00 2010-12-31 EFP ROTENBERG LLP 280 KENNETH DRIVE ROCHESTER NY 14623 990 2010-01-01 160743979 NICHOLAS H NOYES MEMORIAL HOSPITAL NICH 5853356001 111 CLARA BARTON STREET DANSVILLE NY 14437 AMY POLLARD 5853356001 2011-11-15 1 BRUCE A NEWMAN CPA 5854278900 2010 2016-03-07 17:11:31Z AMY POLLARD 111 CLARA BARTON STREET DANSVILLE NY 14437 50800025 0 X WWW.NOYES-HEALTH.ORG X 1927 NY NICHOLAS H. NOYES MEMORIAL HOSPITAL IS A 72 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE, EMERGENCY AND OTHER OUTPATIENT CARE AND WHOSE MISSION IS TO SUPPORT AND PROMOTE THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE. 18 13 610 110 544727 -27365 660400 395232 47942760 48323463 -28214 72638 568755 796552 49143701 49587885 0 0 0 0 25564050 26607732 0 0 92294 23501384 23900802 49065434 50508534 78267 -920649 40151327 40642575 19180464 19895660 20970863 20746915 NICHOLAS H. NOYES MEMORIAL HOSPITAL SUPPORTS AND PROMOTES THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE. 0 0 38627378 48412365 NICHOLAS H. NOYES MEMORIAL HOSPITAL IS A 72 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE, AND OUTPATIENT CARE. 38627378 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 81 0 1 610 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 18 13 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 1 1 1 0 0 NY X X JAY MASLYN 5853354307 111 CLARA BARTON STREET DANSVILLE NY 14437 KEVIN DOUGHERTY 1.00 X 0 0 0 JOHN LOCKHART 1.00 X 0 0 0 MICHAEL JOHNSEN 1.00 X 0 0 0 LESLIE COLE JR 1.00 X 0 0 0 JAMES WISSLER 40.00 X X X 179068 0 12056 GEOFFREY MARKOWSKI MD 1.00 X 0 0 0 DEBORAH SEELOS 1.00 X 0 0 0 THOMAS DWYER MD 1.00 X 0 0 0 JOAN FLENDER MD 1.00 X 0 0 0 GRAHAM FRAZER SR 1.00 X 0 0 0 ROBERT HART 1.00 X 0 0 0 ARIF QURESHI MD 1.00 X 66141 0 0 ANDREW LONG 1.00 X 0 0 0 DOUGLAS MAYHLE MD 40.00 X X 342699 0 13390 MARILYN MOORE 1.00 X 0 0 0 MAUREEN WOLCOTT 1.00 X 0 0 0 CELESTE GRACE DVM 1.00 X 0 0 0 SALLY WEST 1.00 X 0 0 0 JAY MASLYN 40.00 X X 132139 0 1354 WAGEEH AZER 40.00 X 325263 0 198 ROBERT CAPECCI 40.00 X 536170 0 12680 ASAD MAJID 40.00 X 411573 0 13707 ROBERT SUPINSKI 40.00 X 289767 0 8451 MARY JANE BOVO 40.00 X 270291 0 5721 2553111 0 67557 31 0 1 0 ARUP LABORATORIES PO BOX 27964 SALT LAKE CITY UT 84127 LAB TESTING SERVICES 636073 MEDICAL DOCTOR ASSOCIATES PO BOX 277185 ATLANTA GA 30384 LOCUM PHYSICIANS 530893 SLEEP INSIGHTS MEDICAL SERVICES 10 HAGEN DRIVESUITE 200 ROCHESTER NY 14625 POLYSOMNOGRAPHY SERVICES 405730 GENESIS INTERNAL MEDICINE 50 E SOUTH STREETSUITE 600 GENESEO NY 14454 INTERNIST 350178 DANVILLE ANESTHESIA & PAIN MGMT PO BOX 784891 PHILADELPHIA PA 19178 ANESTHESIOLOGIST 249715 11 325223 70009 395232 PATIENT SERVICE REVENU 621990 48323463 48323463 48323463 50770 50770 1133572 1111704 21868 21868 21868 21342 9315 12027 12027 180023 91121 88902 88902 OTHER REVENUE 541380 686316 535420 150896 SEAGATE ALLIANCE, LLC 900000 9307 9307 695623 49587885 48412365 544727 235561 653905 241947 411958 21626860 16485171 5121091 20598 283538 213041 67140 3357 2553856 1918884 604735 30237 1489573 1098560 372393 18620 13263 12180 1083 161796 161796 51735 51735 58955 58955 3911872 3032131 879741 116505 26033 86164 4308 9638691 8718443 905074 15174 273186 202158 71028 1741165 542822 1198343 19857 2642 17215 78238 67310 10928 56349 37495 18854 2003685 1202211 801474 659261 569976 89285 BAD DEBT 1752695 1752695 OTHER PURCHASED SERVICE 1448535 1049973 398562 REPAIRS & MAINTENANCE 804244 678514 125730 EQUIPMENT RENTAL 758381 537608 220773 FOOD 226576 192590 33986 125813 44994 80819 50508534 38627378 11788862 92294 4364 4664 2465621 2703682 101899 35300 5889812 5520151 890755 868988 1060589 871986 44716115 28141222 17008857 16574893 1261075 1352993 11468355 12709918 40151327 40642575 4239842 4518254 925992 637872 9551071 9189986 4463559 5549548 19180464 19895660 X 20045465 19877759 181692 125450 743706 743706 20970863 20746915 40151327 40642575 X -920649 696701 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1335945 107551 9043 1434453 1155614 188466 8135 1335945 1614612 -273730 175000 10268 1155614 0.55120 0.44880 0 0 372690 372690 22109114 11336761 10772353 21068755 16804461 4264294 1165556 1165556 16574893 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 9336386 DEBT ORIGINATION COSTS - NET 508705 DUE FROM RELATED ENTITY 264371 MORTGAGE REPAYMENT ESCROW FUNDS 805638 OTHER 1794818 12709918 DUE TO THIRD PARTY PAYORS- LONG TERM 832694 DUE TO THIRD PARTY PAYORS- SHORT TERM 1965209 LINE OF CREDIT 210000 PENSION LIABILITY 2161296 WORKERS COMPENSATION 380349 5549548 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: EMPLOYEE EDUCATION. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: IN ACCORDANCE WITH ASC 740-10-50, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, THE SYSTEM RECOGNIZES THE TAX BENEFITS FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES. MANAGEMENT BELIEVES THAT THE SYSTEM IS CURRENTLY OPERATING IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS HAS BEEN INCLUDED ON THE SYSTEMS FINANCIAL STATEMENTS. THE EXEMPT SYSTEMS INFORMATIONAL RETURNS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES AND ITS OPEN AUDIT PERIODS ARE 2007 THROUGH 2010. GOLF TOURNAMENT 13898 0 13898 280 80 1675 2042 0 938 FLOWER SALE 7444 0 7444 0 0 0 0 0 4300 21342 21342 280 80 1675 2042 5238 9315 12027 1 1 0 1 X 1 1 1 0 1 1 632555 0 632555 0.01250 6508442 6095457 412985 0.00820 782879 765625 17254 0.00030 7923876 6861082 1062794 0.02100 16 7374 66015 17082 48933 0.00100 3 199 111955 0 111955 0.00220 2 0 4252571 3679267 573304 0.01140 0 0 0 0 3 4625 45486 14155 31331 0.00060 24 12198 4476027 3710504 765523 0.01520 24 12198 12399903 10571586 1828317 0.03620 1 0 8017 0 8017 0.00020 1 8017 8017 0.00020 0 597669 153517 9846836 8580697 1266139 X 1 1 6 1 NICHOLAS H NOYES MEMORIAL HOSPITAL

111 CLARA BARTON STREET DANSVILLE NY 14437

X X X 2 AFTER HOURS CARE CENTER

4440 LAKEVILLE ROAD GENESEO NY 14454

URGEN CARE CENTER 3 LIVINGSTON HEALTH SERVICES

50 EAST SOUTH STREET GENESEO NY 14454

OUTPATIENT SURGERY AND DIAGNOSTIC 4 MENTAL HEALTH CLINIC

1 MAIN STREET DANSVILLE NY 14437

MENTAL HEALTH CLINIC 5 NOYES CTR FOR KIDNEY DISEASE & DIALYSIS

4616 MELLENIUM DRIVE GENESEO NY 14454

CHRONIC DIALYSIS CENTER AND NEPHROLOGIST 6 OB-GYN ASSOC OF THE FINGER LAKES

253 MAIN STREET DANSVILLE NY 14437

OUTPATIENT PHYSICIAN CLINIC NOT REQUIRED 1 PART II: NOYES HOSPITAL STAFF ACTIVELY PARTICIPATES IN MULTIPLE COMMUNITY COALITIONS AND PARTNERSHIPS ADDRESSING THE HEALTH CARE NEEDS OF OUR COMMUNITY, INCLUDING: GENESEE VALLEY HEALTH PARTNERSHIP (GVHP) MEMBERSHIP GVHP EXECUTIVE BOARD (NOYES CEO WAS THE GVHP PRESIDENT) GVHP LONG TERM CARE COUNCIL GVHP LIVINGSTON WELLNESS PARTNERSHIP GVHP ACCESS TO HEALTH CARE FINGER LAKES HEALTH CARE SYSTEM: VISION 2020 COMMUNITY SAFETY COALITION SEXUAL RESPONSIBILITY COALITION MATERNAL CHILD HEALTH COALITION TOBACCO ACTION COALITION DIABETES COALITION TRAFFIC SAFETY COALITION FAITH IN ACTION ADVISORY BOARD (UNDER CATHOLIC CHARITIES OF LIVINGSTON COUNTY) PART III, LINE 4: COSTING METHOD FOR BAD DEBT EXPENSE AT COST IS RATIO OF PATIENT CARE COST TO CHARGES FROM WORKSHEET 2.THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE IS ESTIMATED USING THE SELF PAY % OF TOTAL BAD DEBT AND MULTIPLYING BY THE DEMOGRAPHICS OF OUR PRIMARY SERVICE AREA FOR THOSE WHO WOULD RECEIVE CHARITY CARE IF GIVEN ENOUGH INFORMATION. PART III, LINE 8: THE SOURCE OF THE MEDICARE ALLOWABLE COSTS IS THE 2009 CMS 2552 WORKSHEET I-4. PART VI, LINE 2: NOYES MEMORIAL HOSPITAL IS A MEMBER OF THE GENESEE VALLEY HEALTH PARTNERSHIP (GVHP). THE GVHP IS A NON PROFIT,RURAL HEALTH NETWORK OF MORE THAN 40 DIFFERENT ORGANIZATIONS THAT ARE EITHER BASED IN LIVINGSTON COUNTY OR PROVIDE SERVICES TO LIVINGSTON COUNTY RESIDENTS. THE GVHP MISSION IS TO "IMPROVE THE HEALTH AND WELL BEING OF THE LIVINGSTON COUNTY COMMUNITY THROUGH COLLABORATION, EDUCATION AND PREVENTION."THE COMMUNITY ASSESSMENT MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS WAS COORDINATED BY THE GVHP WHOSE VISION STATEMENT IS "WITH OUR PARTNERS' CREATING A HEALTHY FUTURE NOW."THE MAPP LEADERSHIP TEAM RECOMMENDED USING THE NYS DOH PREVENTION AGENDA AND UTILIZING HEALTHY PEOPLE 2010/2020 STANDARDS AND NEW YORK STATE AVERAGES AS COMPARISON BENCHMARKS FOR PLAN SUCCESS. THIS SIX PHASE PROCESS STARTED OCTOBER 2008 WITH GOAL TO BE COMPLETED FALL OF 2010. THE COMMUNITY HEALTH STATUS AND LOCAL PUBLIC HEALTH SYSTEM WERE ASSESSED AND COMMUNITY THEMES AND FORCES OF CHANGE IDENTIFIED. THEN THE GOALS AND STRATEGIC ISSUES WERE FINALIZED IN 2010 AS FOLLOWS:PROMOTE PREVENTION AND EARLY DIAGNOSIS SCREENINGS EARLY DIAGNOSIS IMMUNIZATIONS/VACCINESPROMOTE SAFE COMMUNITY DECREASE FALLS DECREASE ACCIDENTS/UNINTENTIONAL INJURY SAFE FAMILIESIMPROVE NUTRITION AND INCREASE PHYSICAL ACTIVITY HEALTHY EATING PHYSICAL ACTIVITY REDUCE CHRONIC DISEASESSTRENGTHEN SOCIAL AND EMOTIONAL HEALTH DECREASE SUBSTANCE USE AND ABUSE DECREASE CHEMICAL DEPENDENCY MENTAL HEALTHIMPROVE ACCESS TO HEALTHCARE HEALTH INSURANCE TRANSPORTATION OPTIONS LOCAL HEALTH SYSTEM RESOURCES (I.E. WORKFORCE, SERVICES, FACILITIES) PART VI, LINE 3: NOYES HOSPITAL CONTINUALLY EDUCATES PATIENTS AND STAFF ON THE FINANCIAL AID POLICY. ALL UNINSURED AND UNDER INSURED PATIENTS RECEIVE A PACKET OF FINANCIAL INFORMATION THAT INCLUDES OUR FINANCIAL AID PROGRAM SUMMARY AND BROCHURE, A FINANCIAL AID APPLICATION AND INSTRUCTIONS ON HOW TO APPLY, AS WELL AS HOW TO RECEIVE ASSISTANCE IN APPLYING. EACH UNINSURED PATIENT IS ASKED IF HE OR SHE WANTS A CALL THE NEXT DAY FROM A FINANCIAL AID COUNSELOR TO GO OVER THE INFORMATION. THE PATIENTS ARE ALSO MAILED FINANCIAL AID INFORMATION WITH THEIR FIRST STATEMENTS. INFORMATION ON THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM IS POSTED IN ALL PUBLIC AREAS THROUGHOUT THE HOSPITAL. WE HAVE ASSIGNED STAFF TO ASSIST PATIENTS IN UNDERSTANDING THIS PROCESS: BUSINESS OFFICE AND SOCIAL WORK. WE ALSO HAVE A FACILITATED ENROLLER FOR PRESUMPTIVE MEDICAID FOR PRENATAL CARE. THE FINANCIAL ASSISTANCE COMMITTEE MEETS AS NEEDED TO REVIEW POLICY AND ADDRESS SPECIAL NEEDS. THE REVENUE CYCLE COMMITTEE MEETS MONTHLY AND INCLUDES FINANCIAL AID DATA REVIEW. PART VI, LINE 4: NOYES MEMORIAL HOSPITAL'S COMMUNITY SERVICE PLAN WAS DEVELOPED BY WORKING COLLABORATIVELY WITH AGENCIES, PROVIDERS AND CONSUMERS BASED ON OUR PRIMARY MARKET SHARE ZIP CODE REPORT. LIVINGSTON COUNTY IS OUR HEALTH CARE SYSTEM'S PRIMARY SERVICE AREA AND WE ALSO SERVE A SMALLER PERCENTAGE OF RESIDENTS IN THE SURROUNDING COUNTIES INCLUDING STEUBEN, ALLEGANY, WYOMING AND ONTARIO RESPECTIVELY. LIVINGSTON COUNTY IS A RURAL COUNTY IN WESTERN NEW YORK COVERING 632 SQUARE MILES WITH POPULATION OF 63,154.HEALTH CARE SERVICES ARE PROVIDED AT THE FOLLOWING LOCATIONS THROUGHOUT LIVINGSTON COUNTY: NICHOLAS H. NOYES MEMORIAL HOSPITAL: A 72 BED ACUTE CARE HOSPITAL LOCATED IN DANSVILLE PROVIDING MEDICAL, SURGICAL, AND EMERGENCY INPATIENT/OUTPATIENT SERVICES THAT ALSO INCLUDE COMMUNITY OUTREACH WELLNESS, EDUCATION AND PREVENTION PROGRAMS. LIVINGSTON HEALTH SERVICES: AN AMBULATORY CARE FACILITY IN GENESEO THAT PROVIDES OUTPATIENT SURGICAL, RADIOLOGY, LABORATORY, PHYSICAL THERAPY, PAIN MANAGEMENT, AND PHYSICIAN SERVICES. NOYES MENTAL HEALTH: AN OUT PATIENT CLINIC PROVIDING INDIVIDUAL, GROUP AND FAMILY COUNSELING SERVICES. NOYES PHYSICIAN SERVICE OFFICES OB GYN ASSOCIATES OF THE FINGER LAKES: DANSVILLE AND GENESEO GENESEE REGIONAL ORTHOPEDICS: DANSVILLE NOYES CENTER FOR KIDNEY DISEASE AND DIALYSIS: ONE OF OUR NEWEST SERVICES THAT ENCOMPASSES A 12 STATION OUTPATIENT DIALYSIS AND RENAL DISEASE MANAGEMENT CENTER IN GENESEO PART VI, LINE 6: THE OPENING OF THE NOYES CENTER FOR KIDNEY DISEASE AND DIALYSIS MET A HEALTH CARE NEED AND IMPROVED ACCESS TO CARE BY PROVIDING DIALYSIS SERVICES WITHIN THE COUNTY, THUS ALLEVIATING TRANSPORTATION NEEDS AND PATIENT HARDSHIPS TO TRAVEL 1 2 HOURS/DAY TO GET TO AND FROM DIALYSIS THREE TIMES/WEEK. THIS WAS A COLLABORATIVE EFFORT WITH LIVINGSTON COUNTY WHO PROVIDED THE SPACE IN WHAT WAS PREVIOUSLY A COUNTY LONG TERM CARE FACILITY THAT WAS RELOCATED.COMMUNITY BOARDS: SEE LIST OF AGENCIES/BOARDS RELATED TO COMMUNITY BENEFIT ACTIVITIES LISTED IN #6 THAT NOYES HOSPITAL STAFF PARTICIPATE ON. REPORTS FILED WITH STATES PART VI, LINE 7 NY X X X 0 0 0 0 0 0 0 0 0 JAMES WISSLER 171187 0 0 0 7881 0 0 0 12056 0 191124 0 202959 0 DOUGLAS MAYHLE MD 341925 0 0 0 774 0 0 0 13390 0 356089 0 369210 0 WAGEEH AZER 310042 0 15000 0 221 0 0 0 198 0 325461 0 0 0 ROBERT CAPECCI 535396 0 0 0 774 0 0 0 12680 0 548850 0 399394 0 ASAD MAJID 411303 0 0 0 270 0 0 0 13707 0 425280 0 378728 0 ROBERT SUPINSKI 289509 0 0 0 258 0 0 0 8451 0 298218 0 0 0 MARY JANE BOVO 269103 0 0 0 1188 0 0 0 5721 0 276012 0 0 0 LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY 161136853 538655AD3 2005-06-29 9471914 ACQUISITION, RENOVATION, CONSTRUCTION, AND EQUIPPING OF HOSPITAL 0 0 0 LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY 161136853 538655AE1 2007-12-20 5025000 REFUND PRIOR BONDS (06/30/99) 0 0 0 1370000 9763548 805638 625676 189438 6449941 1692856 2006 1 0 1 1 890000 5025000 100500 25196 84220 4815084 2003 1 0 1 1 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 1 PART II, LINE 3 BOND PROCEEDS THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN E DUE TO INVESTMENT EARNINGS. OMAR QURESHI START UP X 75000 75000 0 1 1 75000 CHERIE CRANSTON DAUGHTER OF BOARD MEMBER 210420 ASSISTANCE TO ATTEND MEDICAL SCHOOL NANCY JOHNSON WIFE OF BOARD MEMBER 56880 COMPENSATION 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE GOALS AND OBJECTIVES OF THE CEO ALONG WITH COMPARABILITY DATA TO DETERMINE HIS COMPENSATION. THE DELIBERATION AND DECISION IS RECORDED IN THE MINUTES OF THE EXECUTIVE COMMITTEE MEETING. FORM 990, PART VI, SECTION C, LINE 18 BY REQUEST TO THE CEO, CFO OR ADMINISTRATIVE ASSISTANT. ALSO AVAILABLE ON GUIDESTAR WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 BY REQUEST TO THE CEO, CFO OR ADMINISTRATIVE ASSISTANT. CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC FORM 990, PART VII KEVIN DOUGHERTY - P.O. BOX 59, LIVONIA, NY 14487. JOHN LOCKHART - 32 MAIN STREET, GENESEO, NY 14454. MICHAEL JOHNSEN - 3927 COLTON HILL ROAD, DALTON, NY 14836. LESLIE COLE, JR. - 3186 BRONSON HILL ROAD, LIVONIA, NY 14487. GEOFFREY MARKOWSKI, MD - 50 EAST SOUTH STREET, GENESEO, NY 14454. DEBORAH SEELOS - 6720 BIG TREE ROAD, LIVONIA, NY 14487. THOMAS DWYER, MD - TRI-COUNTY FAMILY MEDICINE, NORTH CHURCH STREET, CANASERAGA, NY 14822. JOAN FLENDER, MD - STONY BROOK PEDIATRICS, P.O. BOX 499, DANSVILLE, NY 14437. GRAHAM FRAZER, SR. - 8889 REEDS CORNERS ROAD, DANSVILLE, NY 14437. ROBERT HART - 10 MOREY AVENUE, DANSVILLE, NY 14437. ANDREW LONG - 5563 COTTONWOOD DRIVE, CONESUS, NY 14435. MARILYN MOORE - SUNY GENESEO, 1 COLLEGE CIRCLE, GENESEO, NY 14454. MAUREEN WOLCOTT - 10799 EDMOND ROAD, COHOCTON, NY 14826. CELESTE GRACE, DVM - 4029 ROOTS TAVERN ROAD, GENESEO, NY 14454. SALLY WEST - 14 MAIN STREET, GENESEO, NY 14454. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 38,301. CHANGE IN INTEREST IN FOUNDATION 795,414. PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS -137,014. TOTAL TO FORM 990, PART XI, LINE 5: 696,701. OVERSIGHT PROCESS PART XII, LINE 2C THE HOSPITAL DID NOT CHANGE THE OVERSIGHT PROCESS IN THE CURRENT YEAR. THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC 111 CLARA BARTON ST DANSVILLE NY 14437 161584778 TO PROVIDE FUNDS FOR BENEFIT OF THE HOSPITAL NY 501(C)(3) 170(B)(1)(A) (VI) 0 RED JACKET CENTER INC 111 CLARA BARTON ST DANSVILLE NY 14437 161037658 TO MAINTAIN A BUILDING AND LEASE SPACE TO THE HOSPITAL NY 501(C)(3) SECTION 509 (A)(3) 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 RED JACKET CENTER INC P 1162752 FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC O 898381 RED JACKET CENTER INC J 571296