GENEVA GENERAL HOSPITAL: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- GENEVA GENERAL HOSPITAL (EIN 16-0743032)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-10
- IRS object ID
- 202213149349306201
- Schema version
- 2021v4.2
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-10T14:52:17-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 171 SULLYS TRAIL | AddressLine1Txt |
| City | PITTSFORD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743032 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENEVA GENERAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GENE | BusinessNameControlTxt |
| Phone | 3157874030 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 196 NORTH STREET | AddressLine1Txt |
| City | GENEVA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14456 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TRISHA KOCZENT | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3157874030 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TRISHA | PersonFirstNm |
| Person Last | KOCZENT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AIMEE J JOZIC | PreparerPersonNm |
| PTIN | P01346943 | PTIN |
| Phone | 5853811000 | PhoneNum |
| Preparation | 2022-11-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOSE ACEVEDO MD MBA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 196 NORTH STREET | AddressLine1Txt |
| City | GENEVA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14456 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $108,269,094 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FLHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1898 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | GENEVA GENERAL HOSPITAL IS A COMMUNITY BASED, NOT-FOR-PROFIT 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 981 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $770,004 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,682,664 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,848,184 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $80,059,490 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $91,114,305 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,146,624 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,985,319 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,625,702 | PYOtherRevenueAmt |
| CY Other Revenue | $9,321,286 | CYOtherRevenueAmt |
| PY Total Revenue | $97,514,480 | PYTotalRevenueAmt |
| CY Total Revenue | $108,269,094 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $61,974,665 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $63,801,083 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $34,155,822 | PYOtherExpensesAmt |
| CY Other Expenses | $51,111,265 | CYOtherExpensesAmt |
| PY Total Expenses | $96,130,487 | PYTotalExpensesAmt |
| CY Total Expenses | $114,912,348 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,383,993 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,643,254 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $238,011,290 | TotalAssetsBOYAmt |
| Total Assets EOY | $241,263,281 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $44,682,925 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $45,406,695 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $193,328,365 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $195,856,586 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $34,382,051 | ExpenseAmt |
| Revenue | $32,381,861 | RevenueAmt |
| Desc | PATIENT SERVICE PROGRAM: INPATIENTGENEVA GENERAL HOSPITAL IS A 132-BED ACUTE CARE HOSPITAL PROVIDING BOTH PRIMARY CARE AND A FULL RANGE OF SECONDARY LEVEL SERVICES. WE OPERATE A 10-BED INTENSIVE CARE UNIT, AND A 12-BED TELEMETRY UNIT AS WELL AS SIX PEDIATRIC BEDS. THE HOSPITAL ALSO OPERATES A REGIONAL ACUTE PHYSICAL REHABILITATION CENTER, INCLUDING AN IN-PATIENT, 15-BED UNIT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $59,810,706 | ExpenseAmt |
| Revenue | $56,331,192 | RevenueAmt |
| Desc | PATIENT SERVICE PROGRAM: OUTPATIENTA FULL RANGE OF DIAGNOSTIC AND TREATMENT SERVICES ARE AVAILABLE AT GENEVA GENERAL HOSPITAL. WE ARE DEDICATED TO PROVIDING A COMPREHENSIVE ARRAY OF HEALTHCARE SERVICES TO PEOPLE IN THE FINGER LAKES REGION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,732,008 | ExpenseAmt |
| Revenue | $1,631,248 | RevenueAmt |
| Desc | EDUCATION PROGRAM:EDUCATION PLAYS AN IMPORTANT ROLE AT GENEVA GENERAL HOSPITAL. OUR EDUCATION DEPARTMENT, WHICH INCLUDES HIGHER EDUCATION PROGRAMS FOR LICENSED PRACTICAL NURSES (LPN) AND REGISTERED NURSES (RN), IS A DIVERSIFIED TEAM OF PROFESSIONALS WHO PROVIDE LEARNING OPPORTUNITIES TO THE MEMBERS OF OUR ORGANIZATION AND RESIDENTS OF SURROUNDINGCOMMUNITIES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $95,924,765 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 255 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 981 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRISHA KOCZENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3157874000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 196 NORTH STREET | AddressLine1Txt |
| City | GENEVA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14456 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| KYLENE ABRAHAM DNP | |||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| PHIL BECKLEY | |||||||||
| CHAIR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MENZO CASE | |||||||||
| VICE CHAIR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| TOM BURRALL | |||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES CHENEY | |||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| CHEVANNE DEVANEY | |||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| RYAN HALLINGS | |||||||||
| SECRETARY | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JOHN HICKS | |||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| ANN MCMULLEN | |||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| RODOLFO QUEIROZ MD | |||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| LANCE WARD | |||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| CRAIG DENSMORE | |||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| SUSAN STORK | |||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSE A ACEVEDO MD | |||||||||
| PRESIDENT & CEO | 6.00 | 34.00 | Yes (X) | $794,360 | $0 | $155,495 | Yes (X) | ||
| JEFFREY MORGAN | |||||||||
| TREASURER & CFO THROUGH MAY 2021 | 6.00 | 34.00 | Yes (X) | $369,219 | $0 | $12,869 | Yes (X) | ||
| ROBERT ANDERSON MD | |||||||||
| TRUSTEE | 1.00 | 39.00 | Yes (X) | $0 | $236,049 | $16,657 | |||
| TRISHA KOCZENT | |||||||||
| TREASURER & CFO FROM JUNE 2021 | 6.00 | 34.00 | Yes (X) | $179,165 | $0 | $1,564 | Yes (X) | ||
| SCOTT MOONEY MD | |||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES NARDOZZI | |||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| FRANK M KORICH | |||||||||
| CHIEF OPERATING OFFICER | 5.00 | 35.00 | $368,284 | $0 | $48,444 | Yes (X) | |||
| CHAD M HOFFMAN-FRAGALE | |||||||||
| VP HUMAN RESOURCES | 4.00 | 36.00 | $226,134 | $0 | $8,963 | Yes (X) | |||
| JASON FEINBERG MD | |||||||||
| CHIEF MEDICAL OFFICER | 16.00 | 24.00 | $435,060 | $0 | $38,755 | Yes (X) | |||
| ARDELLE BIGOS | |||||||||
| CHIEF OPERATING NURSE | 24.00 | 16.00 | $297,648 | $0 | $17,011 | Yes (X) | |||
| WENDY DISBROW | |||||||||
| VP PHYS NETWORK | 16.00 | 24.00 | $232,546 | $0 | $2,750 | Yes (X) | |||
| CRAIG COLLINS MD | |||||||||
| PHYSICIAN PROF SURGERY | 40.00 | $597,230 | $0 | $9,750 | Yes (X) | ||||
| EMILY LAMBERT MD | |||||||||
| PHYSICIAN - DERMATOLOGY | 40.00 | $916,072 | $0 | $6,232 | Yes (X) | ||||
| KETUL PATEL MD | |||||||||
| CHIEF OF ANESTHESIA | 40.00 | $514,527 | $0 | $11,908 | Yes (X) | ||||
| JONATHAN RODRIGUEZ | |||||||||
| PHYSICIAN PROF CARDIOLOGY | 40.00 | $619,838 | $0 | $4,850 | Yes (X) | ||||
| MATTHEW C TALBOTT | |||||||||
| DIR EMERGENCY MEDICINE | 40.00 | $570,296 | $0 | $4,500 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,120,379 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $236,049 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $339,748 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 95 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CARDINAL HEALTH | |||||
| 6012 E MOLLOY RD | SYRACUSE | NY | 13211 | MEDICAL SUPPLIES | $3,870,874 |
| LABORATORY CORPORATION OF AMERICA | |||||
| 531 SOUTH SPRINT STREET | BURLINGTON | NC | 27215 | LABORATORY DIAGNOSTICS | $2,465,401 |
| AYA HEALTHCARE | |||||
| 5930 CORNERSTONE COURT WEST SUITE 3 | SAN DIEGO | CA | 92121 | HEALTHCARE SERVICES | $2,004,745 |
| EUROFINS NTD LLC | |||||
| 80 RULAND RD 1 | MELVILLE | NY | 11747 | HEALTHCARE SERVICES | $1,988,910 |
| MEDLINE INDUSTRIES INC | |||||
| 1989 TRANSIT WAY | BROCKPORT | NY | 14420 | HEALTHCARE SERVICES | $1,829,073 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 138 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $697,941 | RelatedOrganizationsAmt |
| Government Grants | $5,019,519 | GovernmentGrantsAmt |
| All Other Contributions | $130,724 | AllOtherContributionsAmt |
| Total Contributions | $5,848,184 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621990 | $88,713,053 | $88,713,053 | |
| TUITION AND RELATED FEES | 611600 | $1,631,248 | $1,631,248 | |
| CHILD DAY CARE | 624410 | $770,004 | $770,004 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $91,114,305 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,897,769 | TotalRevenueColumnAmt |
| Exclusion | $1,897,769 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $87,550 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $87,550 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,550 | TotalRevenueColumnAmt |
| Exclusion | $87,550 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| SHARED SERVICE REVENUE | 900099 | $5,198,054 | $5,198,054 |
| OTHER OPERATING REVENUE | 900099 | $3,762,614 | $3,762,614 |
| OTHER REVENUE | 900099 | $360,618 | $360,618 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,321,286 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $108,269,094 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $90,344,301 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $770,004 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,306,605 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,188,267 | TotalAmt |
| Management And General | $3,188,267 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,125,596 | TotalAmt |
| Program Services | $42,156,362 | ProgramServicesAmt |
| Management And General | $5,969,234 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $584,899 | TotalAmt |
| Program Services | $480,518 | ProgramServicesAmt |
| Management And General | $104,381 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,671,069 | TotalAmt |
| Program Services | $7,123,625 | ProgramServicesAmt |
| Management And General | $1,547,444 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,231,252 | TotalAmt |
| Program Services | $2,654,601 | ProgramServicesAmt |
| Management And General | $576,651 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,450,427 | TotalAmt |
| Program Services | $735,330 | ProgramServicesAmt |
| Management And General | $1,715,097 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,079 | TotalAmt |
| Program Services | $89,047 | ProgramServicesAmt |
| Management And General | $157,032 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,965 | TotalAmt |
| Program Services | $10,200 | ProgramServicesAmt |
| Management And General | $88,765 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,360,975 | TotalAmt |
| Program Services | $1,357,797 | ProgramServicesAmt |
| Management And General | $3,178 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,679 | TotalAmt |
| Program Services | $55,120 | ProgramServicesAmt |
| Management And General | $191,559 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $817,982 | TotalAmt |
| Program Services | $576,383 | ProgramServicesAmt |
| Management And General | $241,599 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,510,291 | TotalAmt |
| Program Services | $436,859 | ProgramServicesAmt |
| Management And General | $1,073,432 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,921,773 | TotalAmt |
| Program Services | $1,446,728 | ProgramServicesAmt |
| Management And General | $475,045 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,923 | TotalAmt |
| Program Services | $26,893 | ProgramServicesAmt |
| Management And General | $13,030 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,178 | TotalAmt |
| Management And General | $15,178 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,342,455 | TotalAmt |
| Program Services | $6,025,332 | ProgramServicesAmt |
| Management And General | $317,123 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,115,459 | TotalAmt |
| Program Services | $296,547 | ProgramServicesAmt |
| Management And General | $818,912 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $13,682,115 | $13,622,940 | $59,175 |
| CONTRACT LABOR | $8,741,802 | $8,523,822 | $217,980 |
| PURCHASED SERVICES | $7,572,485 | $5,942,965 | $1,629,520 |
| OTHER | $4,647,558 | $4,062,577 | $584,981 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,119 | TotalAmt |
| Program Services | $301,119 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,912,348 | TotalAmt |
| Program Services | $95,924,765 | ProgramServicesAmt |
| Management And General | $18,987,583 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $510,954 | BOYAmt |
| EOY | $635,300 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,001,539 | BOYAmt |
| EOY | $8,226,223 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,068,693 | BOYAmt |
| EOY | $15,808,618 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,176,754 | BOYAmt |
| EOY | $2,628,523 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $991,523 | BOYAmt |
| EOY | $921,340 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $230,155,194 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $161,937,992 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,785,587 | BOYAmt |
| EOY | $68,217,202 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,759,753 | BOYAmt |
| EOY | $97,598,187 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,000 | BOYAmt |
| EOY | $120,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,596,487 | BOYAmt |
| EOY | $47,107,888 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238,011,290 | BOYAmt |
| EOY | $241,263,281 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,753,205 | BOYAmt |
| EOY | $19,654,741 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,986,498 | BOYAmt |
| EOY | $15,421,321 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,435,562 | BOYAmt |
| EOY | $1,077,433 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,507,660 | BOYAmt |
| EOY | $9,253,200 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,682,925 | BOYAmt |
| EOY | $45,406,695 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $161,606,264 | BOYAmt |
| EOY | $160,489,341 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,722,101 | BOYAmt |
| EOY | $35,367,245 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,328,365 | BOYAmt |
| EOY | $195,856,586 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238,011,290 | BOYAmt |
| EOY | $241,263,281 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$6,643,254 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $9,102,906 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $68,569 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $17,573 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $17,573 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PORTION OF ASSOCIATION DUES ATTRIBUTED TO LOBBYING EXPENSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $33,737,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $4,616,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $38,353,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $29,789,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,948,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $33,737,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,399,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,390,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $29,789,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,561,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$2,162,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $24,399,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,555,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $4,006,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $26,561,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.11220 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.88780 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $740,369 | OtherCostOrOtherBasisAmt |
| Book Value | $740,369 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $132,464,122 | OtherCostOrOtherBasisAmt |
| Depreciation | $78,703,196 | DepreciationAmt |
| Book Value | $53,760,926 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $92,145,962 | OtherCostOrOtherBasisAmt |
| Depreciation | $79,794,124 | DepreciationAmt |
| Book Value | $12,351,838 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,804,741 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,440,672 | DepreciationAmt |
| Book Value | $1,364,069 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $68,217,202 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AND INVESTMENTS IN AFFILIATES | $36,839,889 |
| DEFERRED COMPENSATION ASSET | $9,253,200 |
| LIMITED USE ASSETS | $1,014,799 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $47,107,888 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED COMPENSATION LIABILITY | Desc |
| Amt | $9,253,200 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,253,200 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4 | FormAndLineReferenceDesc |
| Explanation | THE ENDOWMENT FUNDS CONSIST OF DONOR-RESTRICTED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES AND ARE INCLUDED IN THE BALANCE SHEET IN ASSETS THAT ARE LIMITED AS TO USE. NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. AMOUNTS INCLUDED IN SCHEDULE D, PART V INCLUDE GENEVA GENERAL HOSPITAL AND FINGER LAKES HEALTH FOUNDATION (EIN 15-0549310) ENDOWMENTS ROUNDED TO THE NEAREST THOUSAND. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,422,394 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $655,315 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $767,079 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00670 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,224,402 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,117,560 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,106,842 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08800 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,646,796 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,772,875 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,873,921 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09470 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,955 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $72,955 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,281,584 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,007,239 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,274,345 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02850 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,354,539 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,007,239 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,347,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02910 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,001,335 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,780,114 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,221,221 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12380 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $468,900 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $468,900 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $468,900 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $468,900 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,180,015 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,266,917 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $17,012,691 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $21,336,880 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,324,189 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENEVA GENERAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 196 NORTH STREET | AddressLine1Txt |
| City | GENEVA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14456 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 3402000H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENEVA GENERAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.FLHEALTH.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.FLHEALTH.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.FLHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.FLHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.FLHEALTH.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION A: | GENEVA GENERAL HOSPITAL:PART V SECTION B LINE 5: THE ONTARIO, SENECA, AND YATES COUNTY PUBLIC HEALTH DEPARTMENTS, IN COLLABORATION WITH FINGER LAKES HEALTH, OTHER HOSPITALS, THE S2AY RURAL HEALTH NETWORK (NOW PIVITAL HEALTH), COMMON GROUND HEALTH AND THE COMMUNITY BASED AGENCIES REVIEWED DIRECTLY PREVAILING DATA AND CONDUCTED SURVEYS OF RESIDENTS IN THE THREE COUNTIES THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. SURVEYS WERE DISSEMINATED THROUGH MANY DIFFERENT METHODS INCLUDING E-MAIL, WEB PAGES MAILING OF PAPER COPIES, DISSEMINATION OF PAPER COPIES IN LOCAL STORES, HEALTH CARE FACILITIES, PUBLIC HEALTH AND COMMUNITY FACILITIES AND DIRECT ASSISTANCE WITHIN COUNTY BUILDINGS/AGENCIES. FINGER LAKES HEALTH INVITED PUBLIC PARTICIPATION IN THE NEEDS ASSESSMENT THROUGH THE SPRING 2020 EDITION OF THRIVE OUR COMMUNITY HEALTH MAGAZINE. THRIVE MAGAZINE IS MAILED TO MORE THAN 90,000 HOUSEHOLDS IN THE HEALTH SYSTEM'S SERVICE AREA. READERS WERE INVITED TO LOG-IN TO THE ONLINE SURVEY OR TO CONTACT FINGER LAKES HEALTH FOR A PAPER VERSION OF THE SURVEY. FURTHER INPUT FROM THE PUBLIC WAS COLLECTED THROUGH A NUMBER OF FOCUS GROUP SESSIONS THAT WERE HELD THROUGHOUT THE COUNTIES. THE MAAP PROCESS WAS USED TO DISTILL AND PRIORITIZE COMMUNITY HEALTH NEEDS.GENEVA GENERAL HOSPITAL: PART V SECTION B LINE 6B: FINGER LAKES HEALTH COLLABORATES WITH PUBLIC HEALTH DEPARTMENTS IN OUR SERVICE AREA AS WELL AS OTHER HUMAN SERVICES PROVIDERS, TO USE THE FRAMEWORK OF THE NYS HEALTH COMMISSIONER'S "PREVENTION AGENDA" AS A BASIS FOR OUR COMMUNITY HEALTH PLANNING. WE WORKED TOGETHER TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019 AND ESTABLISH HEALTH PRIORITIES FOR 2020-2021. BY DRAWING UP ON THE STATE'S PREVENTION AGENDA, STUDYING DATA COLLECTED THROUGH PRIMARY AND SECONDARY RESEARCH AND PARTNERING WITH LOCAL HEALTH DEPARTMENTS IN ONTARIO, SENECA, AND YATES COUNTIES WE IDENTIFIED HEALTH PRIORITIES AND SUBSEQUENT COMMUNITY OUTREACH INITIATIVES TO ALIGN WITH THOSE PRIORITIES.GENEVA GENERAL HOSPITAL: PART V SECTION B LINE 11: ACTIONS TAKEN BY GGH TO ADDRESS THE SIGNIFICANT NEEDS ADDRESSED IN THE MOST RECENT CHNA: -PROVIDE SEASONAL FARMERS MARKETS, WEEKLY AT THE JIM DOOLEY CHILD CARE CENTER. - ENCOURAGE HEALTH CARE PROVIDER INVOLVEMENT WITH SMOKING CESSATION ATTEMPTS AT AFFILIATED PRACTICES.-UTILIZE EHR (EMR) TO MAKE PATIENT REFERRALS FOR SCREENINGS AS APPROPRIATE. STAFF TIME OF .15 FTE TO COLLECT AND REPORT AGGREGATE DATA. - VICE PRESIDENT OF NURSING AND OTHER STAFF AS APPROPRIATE WILL ATTEND MENTAL AND SUBSTANCE ABUSE DISORDER/SUICIDE PREVENTION MEETINGS AND WORK AS PARTNER - 0.04 ADMINISTRATOR FTE- HOST AND PROMOTE WALK-IN MONTHLY MAMMOGRAPHY SCREENINGS. - TRACK # MAMMO REFERRALS MADE BY PCP'S (BY ZIP CODE AND PROVIDER) TRACK # MAMMO SCREENINGS COMPLETEDAT HOSPITAL (BY ZIP CODE AND PROVIDER) DISPLAY CANCER SCREENING MATERIALS ON SITE. PROVIDE COMMUNITY EDUCATION RE CANCER AND CANCER SCREENING. 0.2 FTE AND FUNDING FOR PROMOTION OF SCREENINGS IN FLH MAGAZINE. - ASSESS FOR BARRIERS TO CANCER SCREENING: TRACK # MAMMO AND COLOALRECTAL SCREEING REFERRALS MADE BY PCP'S (BY ZIP CODE AND PROVIDER) TRACK # MAMMO AND COLORECTAL SCREENINGS COMPLETED AT HOSPITAL (BY ZIP CODE AND PROVIDER). PARTNER WITH CAREER TERM AND OTHER ORGNANIZATIONS- PARTICIPATION IN HYPERTENSION SCREENINGS WITH COMMON GROUND HEALTHGENEVA GENERAL HOSPITAL:PART V SECTION B LINE 23: AMOUNTS GENERALLY BILLED: THE AMOUNTS GENERALLY BILLED ARE BASED UPON THE NEGOTIATED COMMERCIAL INSURANCE RATES FOR THE CARRIER WITH THE GREATEST VOLUME.PART V SECTION B LINE 6B: SENECA, ONTARIO AND YATES COUNTY DEPARTMENT OF PUBLIC HEALTH, COMMON GROUND HEALTH, SAY2 RURAL HEALTH (NOW PIVITAL HEALTH) |
| GENEVA GENERAL HOSPITAL | PART V, SECTION B, LINE 6A: SSMH |
| GENEVA GENERAL HOSPITAL | PART V, SECTION B, LINE 6B: SENECA COUNTY DEPARTMENT OF PUBLIC HEALTHCOMMON GROUND HEALTHS2AY RURAL HEALTH (NOW PIVITAL HEALTH) ONTARIO COUNTY HEALTH DEPARTMENTYATES COUNTY PUBLIC HEALTH |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 2: | COSTING METHODOLOGY:HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION 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 (44%). BASED UPON AN ANALYSIS OF INCOME LEVELS FOR ACCOUNTS INCLUDED IN BAD DEBTS WE ESTIMATED THAT 35.6% WERE ELIGIBLE UNDER FAP. |
| PART III, LINE 3: | 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 4: | BASED ON ITS HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF GGH'S UNINSURED PATIENTS WILL LIKELY BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, GGH RECORDS AN IMPLICIT PRICE CONCESSION TO REDUCE ACCOUNTS TO THEIR NET REALIZABLE VALUE. THERE ARE VARIOUS FACTORS THAT CAN IMPACT COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, UNEMPLOYMENT RATES, THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE VOLUME OF PATIENTS THROUGH THE EMERGENCY DEPARTMENT, THE INCREASED BURDEN OF CO-PAYS, CO-INSURANCE AMOUNTS AND DEDUCTIBLES TO BE MADE BY PATIENTS WITH INSURANCE, AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. |
| PART III, LINE 8: | RATIONALE 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: | 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 VI, LINE 4: | THE 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 7, REPORTS FILED WITH STATES | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSE A ACEVEDO MD | ||||||||||||||
| PRESIDENT & CEO | $588,791 | $0 | $200,925 | $0 | $4,644 | $0 | $141,077 | $0 | $14,418 | $0 | $949,855 | $0 | $0 | $0 |
| EMILY LAMBERT MD | ||||||||||||||
| PHYSICIAN - DERMATOLOGY | $584,076 | $0 | $286,347 | $0 | $45,649 | $0 | $6,232 | $0 | $0 | $0 | $922,304 | $0 | $0 | $0 |
| JONATHAN RODRIGUEZ | ||||||||||||||
| PHYSICIAN PROF CARDIOLOGY | $484,999 | $0 | $49,024 | $0 | $85,815 | $0 | $4,850 | $0 | $0 | $0 | $624,688 | $0 | $0 | $0 |
| CRAIG COLLINS MD | ||||||||||||||
| PHYSICIAN PROF SURGERY | $575,000 | $0 | $0 | $0 | $22,230 | $0 | $9,750 | $0 | $0 | $0 | $606,980 | $0 | $0 | $0 |
| MATTHEW C TALBOTT | ||||||||||||||
| DIR EMERGENCY MEDICINE | $500,096 | $0 | $29,585 | $0 | $40,615 | $0 | $4,500 | $0 | $0 | $0 | $574,796 | $0 | $0 | $0 |
| KETUL PATEL MD | ||||||||||||||
| CHIEF OF ANESTHESIA | $451,599 | $0 | $29,419 | $0 | $33,509 | $0 | $11,908 | $0 | $0 | $0 | $526,435 | $0 | $0 | $0 |
| JASON FEINBERG MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $384,644 | $0 | $46,621 | $0 | $3,795 | $0 | $21,826 | $0 | $16,929 | $0 | $473,815 | $0 | $0 | $0 |
| FRANK M KORICH | ||||||||||||||
| CHIEF OPERATING OFFICER | $305,326 | $0 | $58,317 | $0 | $4,641 | $0 | $35,972 | $0 | $12,472 | $0 | $416,728 | $0 | $0 | $0 |
| JEFFREY MORGAN | ||||||||||||||
| TREASURER & CFO THROUGH MAY 2021 | $277,300 | $0 | $32,214 | $0 | $59,705 | $0 | $1,180 | $0 | $11,689 | $0 | $382,088 | $0 | $0 | $0 |
| ARDELLE BIGOS | ||||||||||||||
| CHIEF OPERATING NURSE | $259,279 | $0 | $35,206 | $0 | $3,163 | $0 | $2,593 | $0 | $14,418 | $0 | $314,659 | $0 | $0 | $0 |
| ROBERT ANDERSON MD | ||||||||||||||
| TRUSTEE | $0 | $215,729 | $0 | $13,150 | $0 | $7,170 | $0 | $969 | $0 | $15,688 | $0 | $252,706 | $0 | $0 |
| WENDY DISBROW | ||||||||||||||
| VP PHYS NETWORK | $204,677 | $0 | $27,095 | $0 | $774 | $0 | $2,047 | $0 | $703 | $0 | $235,296 | $0 | $0 | $0 |
| CHAD M HOFFMAN-FRAGALE | ||||||||||||||
| VP HUMAN RESOURCES | $224,999 | $0 | $0 | $0 | $1,135 | $0 | $2,250 | $0 | $6,713 | $0 | $235,097 | $0 | $0 | $0 |
| TRISHA KOCZENT | ||||||||||||||
| TREASURER & CFO FROM JUNE 2021 | $178,847 | $0 | $0 | $0 | $318 | $0 | $1,500 | $0 | $64 | $0 | $180,729 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | CERTAIN OFFICERS AND DIRECTORS OF GENEVA GENERAL HOSPITAL ("GGH") PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. GGH DEPOSITED $115,689 INTO A 457(F) PLAN IN 2021 FOR JOSE ACEVEDO, MD, MBA, PRESIDENT & CEO. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | PHIL BECKLEY HAS A BUSINESS RELATIONSHIP WITH JAMES CHENEY. |
| FORM 990, PART VI, SECTION A, LINE 7A | FINGER LAKES REGIONAL HEALTH SYSTEM, INC. IS THE 'GENERAL MEMBER' OF GENEVA GENERAL HOSPITAL. IN THAT ROLE, ELECTION OF TRUSTEES IS RESERVED TO THE GENERAL MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | ELECTION AND REMOVAL OF TRUSTEES, AMENDMENT OF BYLAWS, CERTIFICATE OF INCORPORATION AMENDMENTS, ARE RESERVED TO THE GENERAL MEMBER (FLRHS) PER BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | 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 | GENEVA GENERAL HOSPITAL MAINTAINS A CONFLICT OF INTEREST POLICY WHICH BOARD MEMBERS ARE REQUIRED TO SIGN PRIOR TO TAKING OFFICE. STATEMENTS ARE REVIEWED ANNUALLY BY AN ADMINISTRATIVE COMMITTEE. THE PROCESS FOR HANDLING ANY CONFLICTS OF INTEREST WHICH MAY ARISE ARE DETAILED IN THE CORPORATE BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION IS REVIEWED BY A COMPENSATION COMMITTEE, AND COMPARABILITY DATA IS PART OF THE DECISION. |
| FORM 990, PART VI, SECTION C, LINE 19 | GENEVA GENERAL HOSPITAL 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. |
| PART XII, LINE 2C: | GGH HAS A BOARD COMMITTEE WHO ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FINGER LAKES REGIONAL HEALTH SYSTEM INC | |||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 223193606 | SOLE MEMBER OF GGH, LCS, HLC, LCN, SSMH, AND FLHF | NY | 501(C)(3) | LINE 7 | N/A | 0 | |
| LIVING CENTER AT GENEVA SOUTH | |||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 160957268 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 10 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC | |
| HUNTINGTON LIVING CENTER | |||||||||||
| 269 EAST MAIN STREET | WATERLOO | NY | 13165 | 510169552 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 10 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC | |
| GENEVA GENERAL HOSPITAL HOUSING DEVELOPMENT CO | |||||||||||
| 260 NORTH STREET | GENEVA | NY | 14456 | 222816883 | OPERATE LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED | NY | 501(C)(3) | LINE 10 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC | |
| TAYLOR BROWN MEMORIAL HOSPITAL HOUSING DEVELOPMENT CO | |||||||||||
| 371 EAST MAIN STREET | WATERLOO | NY | 13165 | 222807734 | OPERATE LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED | NY | 501(C)(3) | LINE 10 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC | |
| LIVING CENTER AT GENEVA NORTH | |||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 161449543 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 10 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC | |
| SOLDIERS & SAILORS MEMORIAL HOSPITAL | |||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 161449543 | PROVIDER AND HEALTHCARE SERVICES | NY | 501(C)(3) | LINE 3 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC | |
| FINGER LAKES HEALTH FOUNDATION | |||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 150549310 | COORDINATE FUNDRAISING ACTIVITES | NY | 501(C)(3) | LINE 12C, III-FI | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC | |
| FLH MEDICAL PC | |||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 263765332 | MEDICAL PRACTICES | NY | 501(C)(3) | LINE 10 | Yes (1) | GENEVA GENERAL HOSPITAL | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FLH MEDICAL PC | ||
| D | $23,499,671 | FMV |
| FLH MEDICAL PC | ||
| Q | $2,729,208 | FMV |