2020-09-30T14:30:17-07:00 2019-12-31 990 2019-01-01 160835446 IRA DAVENPORT MEMORIAL HOSPITAL INC IRAD 6077768500 7571 State Route 54 Bath NY 14810 Jonathan Lawrence President & CEO 6077374325 2020-09-30 162.223.206.130 2019 2021-01-29 14:40:06Z JONATHAN LAWRENCE 600 ROE AVE ELMIRA NY 14905 23931225 0 X www.arnothealth.org X 1910 NY IRA DAVENPORT MEMORIAL HOSPITAL IS DEDICATED TO ENHANCING THE QUALITY OF LIFE WITHIN THEIR RURAL COMMUNITY. 12 12 349 25 0 0 573733 684834 23445686 22973864 2121 1137 225218 249261 24246758 23909096 0 0 0 0 13121291 12608715 0 0 0 11803098 11729391 24924389 24338106 -677631 -429010 17860817 17442553 8641963 7910532 9218854 9532021 IRA DAVENPORT MEMORIAL HOSPITAL IS DEDICATED TO ENHANCING THE QUALITY OF LIFE WITHIN THEIR RURAL COMMUNITY BY PROVIDING LOCAL HIGH QUALITY PRIMARY, ACUTE, RESTORATIVE AND RESIDENTIAL HEALTH SERVICES. 0 0 18738536 0 22973864 IRA DAVENPORT PROVIDED BOTH ACUTE CARE AND LONG-TERM CARE SERVICES TO PATIENTS DURING 2019. THE FRED AND HARRIETT TAYLOR HEALTH CARE CENTER IS A 120 BED LONG-TERM CARE/SKILLED NURSING FACILITY. THE HEALTH CENTER PROVIDES A COMMUNITY FOR PEOPLE WHO REQUIRE ASSISTANCE WITH DAILY LIVING OR AROUND-THE-CLOCK NURSING SERVICES. THE HEALTH CARE CENTER ALSO PROVIDES DAY CARE SERVICES AND REHABILITATION SERVICES. 0 0 0 18738536 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 186 0 1 349 1 0 0 0 0 0 0 0 0 X 12 12 1 1 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JONATHAN LAWRENCE 6077374233 600 Roe Ave Elmira NY 14905 Jonathan J Lawrence President & CEO 1 52 X X 0 611246 26225 Robert Lambert MD President Arnot Health 0 0 X 0 564818 14000 Ronald J Kintz DHA Senior VP/CFO 2 52 X 0 354785 14000 Elizabeth J Weir Dir of Nursing Services 40 0 X 0 176087 29613 Kevin Murray Director of Pharmacy 40 0 X 158402 0 25849 April Beasley LPN 40 0 X 105912 0 28603 Tena Billings Director of Nursing 40 0 X 102437 0 29695 Betsy Deacon Nurse Manager 40 2 X 88922 4006 27801 Kathleen Davis Nursing Supervisor 40 0 X 107576 0 4012 Dennis O' Connor MD Medical Director 20 0 X 48330 0 1870 Patricia Baroody Chair 1 0 X 0 0 0 Laura Opelt Vice Chair 1 0 X 0 0 0 Bernard Burns Secretary 1 0 X 0 0 0 Joseph F Meade Treasurer 1 0 X 0 0 0 Kevin Grover Board Member 1 0 X 0 0 0 Werner Brammer MD Board Member 1 0 X 0 0 0 Mark Hagan Board Member 1 0 X 0 0 0 Kathryn Muller Board Member 1 0 X 0 0 0 Jaclyn Woollett Board Member 1 0 X 0 0 0 Jack Wheeler Board Member 1 0 X 0 0 0 611579 1710942 201668 5 1 1 0 NES Medical Services of NY PC PO BOX 936451 ATLANTA GA 311936451 Contracted Medical Staffing 1046574 Focusone Solutions LLC PO Box 3037 Omaha NE 681030037 Contracted Medical Staffing 428970 Medical Solutions PO Box 310737 Des Moines IA 50331 Contracted Clinical Staff 304596 Associated Anesthesiologists of the Finger Lakes PO Box 1253 Elmira NY 14902 Anesthesiologists 129790 4 0 0 0 0 612431 72403 0 684834 Net Patient Service Revenue Hosp 622110 22973864 22973864 0 0 0 0 0 0 22973864 1137 0 0 1137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87125 22129 64996 0 0 64996 Rehab.Respiratory Therapy 621110 13654 13654 0 0 170611 170611 0 0 184265 23909096 23158129 0 66133 0 0 0 0 0 0 0 0 0 0 0 0 9980434 8680972 1299462 0 97913 0 97913 0 1792047 13009 1779038 0 738321 631561 106760 0 0 0 0 0 208202 165060 43142 0 680 0 680 0 5000 0 5000 0 0 0 0 0 0 0 901 0 901 0 2262469 2196268 66201 0 16345 4985 11360 0 605065 490828 114237 0 355616 237301 118315 0 0 0 0 0 379830 22787 357043 0 24057 19466 4591 0 0 0 0 0 110 90 20 0 0 0 0 0 0 0 0 0 1286798 810930 475868 0 30711 0 30711 0 Medical/Surgical/ Pharmaceutical Supplies 1725871 1706255 19616 0 Maintenance Contracts/Purchased Services 4069592 1479216 2590376 0 Leases 55077 17790 37287 0 Benefit Allocation 0 1631151 -1631151 0 703067 630867 72200 0 24338106 18738536 5599570 0 46084 42116 537836 25484 0 0 2993017 3467957 0 0 0 0 168622 176595 183132 153055 273800 179889 34344753 24743614 10476928 9601139 850000 850000 0 0 0 0 0 0 2331398 2946318 17860817 17442553 1594808 1608582 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7047155 6301950 8641963 7910532 X 6362969 6440105 2855885 3091916 9218854 9532021 17860817 17442553 X -429010 0 0 0 0 742177 X 1 X 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25612 0 0 0 0 0 25612 25612 0 0 0 0 0 25612 25612 0 0 0 0 0 25612 241407 0 0 0 215795 0 25612 194062 133021 0 0 85676 0 241407 0 1 0 0 1 1 0 52925 52925 0 17236656 10253627 6983029 0 0 0 0 0 17055172 14489987 2565185 0 0 0 0 9601139 Interest in Net Assets Charitable Remainder Trusts 2034497 Interest in Net Assets of Foundation 780082 Other Noncurrent Assets 131739 2946318 0 Due to Related Parties 5045972 Accrued Reimbursement Pay Net 224339 Self Insurance Reserve 899900 Other Long-Term Liabilities 131739 6301950 23931225 0 0 0 22129 22129 23909096 0 0 0 23909096 24360235 0 0 0 22129 22129 24338106 0 0 0 24338106 Schedule D, Part V, Line 4 The intended uses of the endowment funds are based upon the designations form the organizations documents, which include staff educations, community educations, and charity care. The board endowment funds is a board designed for use in the highest area of need. Schedule D, Part XI, Line 2d Nutritional Services Expense of $22,129 deducted from revenue. Schedule D, Part XII, Line 2d Nutritional Services Expense of $22,129 offset to Nutritional Services Income. 1 1 X 1 X 1 X 1 1 0 1 1 0 145 36004 -2162 38166 0.0016 0 992 3376219 2743206 633013 0.026 0 9812 5857145 4670040 1187105 0.0488 0 10949 9269368 7411084 1858284 0.0764 2 2021 77498 0 77498 0.0032 0 0 0 0 0 0 2 32445 6124161 5192481 931680 0.0383 0 0 0 0 0 0 0 0 0 0 0 0 4 34466 6201659 5192481 1009178 0.0415 4 45415 15471027 12603565 2867462 0.1179 0 0 0 0 0 0 0 0 0 0 0 0 1 30000 2111 0 2111 0.0001 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 30000 105277 305 104972 0.0043 0 0 0 0 0 0 2 60000 107388 305 107083 0.0044 0 1682442 39671 2185272 2223123 -37851 X 1 1 ARNOT OGDEN MEDICAL CENTER ADMINISTRATION & CONSULTING 0 0 0 1 1 IRA DAVENPORT MEMORIAL HOSPITAL 7571 ROUTE 54 BATH NY 14810 www.arnothealth.org X X X X X X X IRA DAVENPORT MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X 19 1 1 1 1 X www.arnothealth.org X 1 19 1 www.arnothealth.org 0 0 1 X 150 400 X X 1 1 X X X 1 X www.arnothealth.org X www.arnothealth.org X www.arnothealth.org X X X X X X 1 0 X X X X 1 0 0 Schedule H, Part V, Section B, Line 5-IRA DAVENPORT MEMORIAL HOSPITAL In 2019, Arnot Health participated in a comprehensive assessment of community needs across county lines with partners such as the Chemung County Health Department, Steuben County Public Health, other hospitals and healthcare agencies in Chemung, Steuben and Schuyler Counties, along with a diverse, collaborative community of partners and residents. Schedule H, Part V, Section B, Line 6a-IRA DAVENPORT MEMORIAL HOSPITAL Arnot Ogden Medical Center prepares the Community Benefit Report for three hospitals- Arnot Ogden Medical Center, St. Joseph's Hospital, both in Elmira, NY and also for Ira Davenport Memorial Hospital in Bath, NY. Schedule H, Part V, Section B, Line 6b-IRA DAVENPORT MEMORIAL HOSPITAL Arnot Health is comprised of three hospitals: Arnot Ogden Medical Center and St. Joseph's Hospital in Elmira; and Ira Davenport Memorial Hospital in Bath, New York. Arnot Health provides diagnostic, ambulatory, secondary and tertiary acute care, as well as substance abuse, psychiatric, rehabilitative, and wellness services to meet the needs of residents in Chemung, Steuben, and Schuyler Counties in the Southern Tier of New York, and Bradford and Tioga Counties in the Northern Tier of Pennsylvania. Arnot Health System has more than 300 physicians from over 50 specialties. The independent, not-for-profit regional healthcare system currently has a total of 709 beds; 478 acute care beds and 231 skilled nursing/long-term beds. Arnot Health works diligently to partner with the organizations throughout the service area in an effort to enhance healthcare services for the most vulnerable residents. Due to the rural nature of Chemung and Steuben Counties, the high percentage of low-income residents and the limited resources available in the community, Arnot Health understands the need to create meaningful partnerships to best serve the community at large. Arnot Health has formed collaborative relationships with organizations throughout Chemung and Steuben Counties to address health concerns across the continuum. Chemung and Steuben Counties maintain coalitions to collaboratively meet the healthcare needs of the community. Schedule H, Part V, Section B, Line 7d-IRA DAVENPORT MEMORIAL HOSPITAL Arnot Ogden Medical Center will use a variety of methods to disseminate the Community Service Plan for Arnot Ogden Medical Center, St. Joseph's Hospital and Ira Davenport Memorial Hospital, and the CHIPS for Chemung and Steuben Counties: Website documents will be posted on the healthcare system's website at the following URL: http://www.arnothealth.org/aboutus. Arnot Health developed a section of the system's website dedicated to community outreach in 2019, budget permitting to bring community service work to a more prominent place within the website. This can be assessed at: https://www.arnothealth.org/community-service-plans. Partner websites of Chemung and Steuben counties will post links to their CHA and CHIP on their websites. Presentations at Arnot Health's Community Health Department provide education about the healthcare system and community outreach strategies. Schedule H, Part V, Section B, Line 11-IRA DAVENPORT MEMORIAL HOSPITAL Arnot Health works diligently to partner with the organizations throughout the service area in an effort to enhance healthcare services for the most vulnerable residents. Due to the rural nature of Chemung and Steuben Counties, the high percentage of low-income residents and the limited resources available in the community, Arnot Health understands the need to create meaningful partnerships to best serve the community at large. Arnot Health has formed collaborative relationships with organizations throughout Chemung and Steuben Counties to address health concerns across the continuum. Chemung and Steuben Counties maintain coalitions to collaboratively meet the healthcare needs of the community. The Chemung County Health Priority Partnership (HP2) has expanded to include insurance navigators. The Steuben County Health Priority Team (SHPT) worked to brand their coalition and has the new name, Smart Steuben. Both coalitions include organizations that are committed to improving the health of Chemung and Steuben County residents. The groups have met on a bi-monthly basis in Chemung County and monthly basis in Steuben County to conduct a Community Health Needs Assessment (CHNA) and develop a Community Health Improvement Plan (CHIP)/Community Service Plan (CSP). The members of HP2 and Smart Steuben have agreed to continue expanding their partnerships, and meet on a regular basis to ensure that the initiatives outlined in the Community Health Improvement and Community Service Plans are implemented, monitored, and evaluated. Schedule H, Part I, Line 7 Arnot Ogden Medical Center uses a Cost to Charges ratio to calculate the Financial Assistance and Community Benefit Section. The Medical Center offers a variety of services to the community it serves as part of an integrated delivery system. It is necessary to financially subsidize some of these services as the revenue generated does not cover the cost of providing the services. Schedule H, Part II Beyond involvement in the aforementioned health collaborative, Arnot Health participates in a number of community efforts aimed at improving health across the continuum. Arnot Health is committed to outreach in underserved populations and preventing chronic disease in the community through free community lectures, preventive health screenings, health promotion presentations, and provision of wellness education. In 2019, Arnot Health provided health promotion programs and screenings for children, adolescents,adults, and seniors. Screenings included blood pressure, blood glucose, body fat analysis, body mass index, diabetes risk assessments, COPD (Lung Age), vascular and skin screenings. Arnot Health participated in community forums and focus groups to assist in the development of strategic plans to increase economic development in the Finger Lakes and Southern Tier regions. Arnot Health continues to promote and support breastfeeding as a strategy to reduce obesity in children and mothers by serving on community coalitions, networks and partnerships in Chemung and Steuben Counties. With the collaboration with community partners, Arnot Health continued to plan and offer programs to promote physical activity and healthy choices in the community. Arnot Health participated in approximately 60 events and programs between Chemung, Steuben and Schuyler Counties. Schedule H, Part III, Section A, Line 4 The Organization carries its patient and resident accounts receivable at anticipated amounts due from private pay patients and third-party payors. Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Organization analyzes their pasty history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Organization analyzes contractually due amounts and provides an allowance for doubtful accounts, if necessary, for receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and co-payment balances due for which third-party coverage exists for part of the bill). The Organization records a provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or discounted rates, if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Organization's allowance for doubtful accounts decreased from 16.19 percent of gross accounts receivable at December 31, 2018 to 15.33 percent of gross accounts receivable at December 31, 2019. In addition, the Organizations bad debt write-offs increased approximately 40,000 from approximately 1,620,000 for fiscal year ended 2018 to approximately 1,682,000 for fiscal year end 2019. The Organization has not changed its charity care or uninsured discount policies during the fiscal year 2019 and 2018. The Organization does not maintain a material allowance for doubtful accounts from third party payors, nor did it have significant write-offs from third-party payors. Schedule H, Part III, Section B, Line 8 Arnot Ogden Medical Center uses a Cost to Charges ratio to calculate the Financial Assistance and Community Benefit Section. The Medical Center offers a variety of services to the community it serves as part of an integrated delivery system. It is necessary to financially subsidize some of these services as the revenue generated does not cover the cost of providing the services. Schedule H, Part III, Section C, Line 9b Self-pay collection staff reviews any prior accounts to check for commercial insurance or Medicaid that may need to be applied to current self-pay accounts. These accounts are reviewed using the self-pay work list. If insurance is located, self-pay collectors must verify eligibility for the date of service. The self-pay staff will change the health plan to the correct one for all covered dates of service and ARNOT Billing will submit claim or claims. If no insurance is located, it is confirmed if a patient may have qualified for Medicaid. If Medicaid coverage is approved, self-pay staff will change the health plan to Medicaid for all covered dates of service and follow the correct billing process. Self-Pay Collections Staff attempts to collect full balance due by check or credit card. If they are unable to make the full payment, Self-pay staff will attempt to make payment arrangements and notify patients about the Arnot Ogden Medical Center Community Care Program. If the patient wants to apply for the community care program, the patient will be sent an application for the community care program and will be informed of documentation they will need to submit with the application. Self-pay collectors document all activity in Soarian, and enter any necessary hold to support resolution. Self-pay collections staff enters the payment plan and documents comments in Soarian. A payment plan statement is demanded and sent to the patient. If patient does not enter into a payment plan agreement, or fails to pay as agreed, account will go through the standard dunning and collection agency activity. See Guarantor Billing and Collections. Schedule H, Part VI, Line 2 In 2019, Arnot Health participated in a comprehensive assessment of community needs across county lines with partners such as the Chemung County Health Department, Steuben County Public Health, other hospitals and healthcare agencies in Chemung, Steuben and Schuyler Counties, along with a diverse, collaborative community of partners and residents. The year-long process of assessing community health needs was facilitated by consultants contracted by the Chemung County Health Department from the S2AY Rural Health Network and Common Ground Health. Arnot Health, in partnership with this dual-county collaborative network, used the MAPP process (Mobilizing for Action through Planning and Partnership) to collect and analyze data from a variety of sources. Valuable input was gained from data retrieved and analyzed by the Finger Lakes Health System Agency from the New York State Prevention Agenda Dashboard, multi-payer claims data, EBRFSS, SPARCS and additional sources. Also, input was gained from diverse community focus groups made of both Chemung and Steuben County residents. The focus group meetings were facilitated by S2AY, Chemung and Steuben County Health Departments, Arnot Health and other partnership members. The residents were engaged in discussions concerning their current health status and opinions on specific county-wide health challenges. Areas of disparity were assessed within each county. Findings from the Community Health Assessment (CHA) data and community focus groups identified some overlapping areas of public health concerns and disparities in Chemung and Steuben Counties. Schedule H, Part VI, Line 3 The Arnot Health communicates our Community Care Program in the following ways: Signage in waiting rooms, brochures in waiting rooms and Admission Packets, notations on billing notices, staff education so they can share availability of program and contact information with patients. Communication and education of our Certified Application Counselor for patient insurance enrollment are done so they are informed of the program details and contact information. Communication is also done with collection agencies and collection attorneys so they can also share the availability of the program and contact information with prospective enrollees. The information is also posted on our website at: www.arnothealth.org. Schedule H, Part VI, Line 4 Arnot Health works diligently to partner with the organizations throughout the service area in an effort to enhance healthcare services for the most vulnerable residents. Due to the rural nature of Chemung and Steuben Counties, the high percentage of low-income residents and the limited resources available in the community, Arnot Health understands the need to create meaningful partnerships to best serve the community at large. Arnot Health has formed collaborative relationships with organizations throughout Chemung and Steuben Counties to address health concerns across the continuum. Chemung and Steuben Counties maintain coalitions to collaboratively meet the healthcare needs of the community. The Chemung County Health Priority Partnership (HP2) has expanded to include insurance navigators. The Steuben County Health Priority Team (SHPT) worked to brand their coalition and has the new name, Smart Steuben. Both coalitions include organizations that are committed to improving the health of Chemung and Steuben County residents. The groups have met on a bi-monthly basis in Chemung County and monthly basis in Steuben County to conduct a Community Health Needs Assessment (CHNA) and develop a Community Health Improvement Plan (CHIP)/Community Service Plan (CSP). The members of HP2 and Smart Steuben have agreed to continue expanding their partnerships, and meet on a regular basis to ensure that the initiatives outlined in the Community Health Improvement and Community Service Plans are implemented, monitored, and evaluated. 0 0 0 0 0 0 0 0 0 Jonathan J Lawrence President & CEO 0 553846 0 63493 0 0 0 9604 0 16621 0 643564 0 0 Robert Lambert MD President Arnot Health 0 0 0 564818 0 0 0 14000 0 0 0 578818 0 0 Ronald J Kintz DHA Senior VP/CFO 0 356428 0 1299 0 0 0 14000 0 0 0 371727 0 0 Elizabeth J Weir Dir of Nursing Services 181147 0 0 0 0 0 6213 0 23400 0 210760 0 0 0 Kevin Murray Director of Pharmacy 159793 0 792 0 0 0 0 0 25849 0 186434 0 0 0 April Beasley LPN 47261 0 62273 0 0 0 4136 0 24466 0 138136 0 0 0 Tena Billings Director of Nursing 103832 0 789 0 0 0 3846 0 25849 0 134316 0 0 0 Betsy Deacon Nurse Manager 91936 1820 8837 2186 0 0 3832 0 23969 0 128574 4006 0 0 Dennis O' Connor MD Medical Director 47994 0 335 0 0 0 1870 0 0 0 50199 0 0 0 Form 990, Part VI, Section A, Line 2 Bernard Burns, the Board Secretary, is Executive Director of Arc of Steuben, and Taylor SNF and Adult Dare Care have transport contracts with Arc of Steuben. Joseph F Meade is the president of Keuka Health Care Foundation and Mercury Aircraft Foundation, who contributes gifts to the Hospital. Kathryn Muller holds a contract with Arnot Health/Ira Davenport Hospital for Social Welfare Examine Services to process medical applications. Form 990, Part VI, Section A, Line 3 As a result of Arnot Ogden Medical Center becoming the "active parent" of Ira Davenport Memorial Hospital, the management of several departments were consolidated under a single manager. Form 990, Part VI, Section A, Line 7a Ira Davenport Hospital Board of Directors can only elect the president and hire medical directors and board members at that facility. Affiliated Board of Directors of Arnot Health are responsible for operations of Ira Davenport Memorial Hospital. Form 990, Part VI, Section A, Line 7b Ira Davenport Hospital Board of Directors can only elect the president and hire medical directors and board members at that facility. Affiliated Board of Directors of Arnot Health are responsible for operations of Ira Davenport Memorial Hospital. Form 990, Part VI, Section B, Line 11b Once the 990 is in final form it is presented to the board committee and a copy is made available to all board members for review and questions. Form 990, Part VI, Section B, Line 12c All members of the Board of Managers, officers, and management employees shall be required annually to file a disclosure statement setting forth any respect in which such person, or any person associated with such person, has or may have any interest in any transaction in which there may be, or appear to be, a conflict between the interest of such person and the Arnot Ogden Medical Center, an associate included (1) Spouse, a descendant or an ancestor, of a spouse of a descendent of ancestor; (2) an organization in which the person of an associated is a partner of employee, or such person is an associated owns more than 10% beneficial interest; (3) a trust in which such person is a trustee, or such person or an associate holds more than 10% beneficial interest and (4) a corporation in which such person or an associate is an officer or a director or employee, or such person or an associate is an owner of more than 10% of any class of securities. Form 990, Part VI, Section B, Line 15 Compensation for the president and vice president is set pursuant to a policy and compensation philosophy adopted by the boards. The AOMC Board has a compensation committee consisting of outside directors (AOMC Board Members are referred to as managers). The Compensation committee uses a consultant to advise it on compensation for the officers. The consultant collects and reports data on compensations for similar positions in similar nonprofit hospitals from upstate New York and western Pennsylvania. The compensation committee recommends any adjustments to the executive committee of the board which reviews the recommendations and approves them without the employees in the room. This action is then reviewed with the entire board also in the executive session. Form 990, Part VI, Section C, Line 19 Items required for public disclosure are made available for those who request the information. Form 990, Part XI, Line 9 IDMH Pension Charged to Equity 42,482; Capital Funding Donations 140,546; Net Income 323,118; Net Assets Released from Restriction (140,545); Temporarily Restricted Donations 98,922; Change in Charitable Remainder Trusts 277,654 KEUKA HEALTH CARE FOUNDATION 7571 STATE ROUTE 54 BATH NY 14810 161461215 PROVIDE FINANCIAL NY 501(C)(3) 11 N/A 0 ARNOT OGDEN MEDICAL CENTER 600 ROE AVENUE ELMIRA NY 14905 160743905 AFFILIATE NY 501 (C)(3) 11 N/A 0 ARNOT OGDEN MEDICAL CENTER FOUNDATION 600 ROE AVENUE ELMIRA NY 14905 161109472 CONTRIBUTION MGT NY 501(C)(3) 11E N/A 0 ARNOT HEALTH INC 600 ROE AVENUE ELMIRA NY 14905 453049405 MANAGEMENT NY 501 (C)(3) N/A ARNOT HEALTH INC 0 ST JOSEPHS HOSPITAL 555 ST JOSEPHS BLVD ELMIRA NY 14901 160743163 AFFILIATE NY 501(C)(3) 11 N/A 0 IVY STREET DEVELOPMENT CORP 600 IVY STREET ELMIRA NY 14905 161009245 REAL ESTATE RENTAL NY N/A C 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 ARNOT HEALTH INC o 3241556 Arnot Health Inc. provided employee who provide medical, management information systems, and various administrative services to Ira Davenport Memorial Hospital. The method of determining amount was cost. KEUKA HEALTH CARE FOUNDATION c 110660 Keuka Health Care Foundation makes contributions to Ira Davenport for capital needs for both the hospital and Taylor Health Center. Form 8868 Application for Extension of Time to File was approved with a notice date of June 29, 2020 granting the new date November 15, 2020 to file Form 990 for Ira Davenport Memorial Hospital.