2020-11-12T15:43:28-07:00 2019-12-31 990 2019-01-01 160743905 ARNOT OGDEN MEDICAL CENTER ARNO 6077374235 600 ROE AVENUE ELMIRA NY 14905 Jonathan Lawrence President & CEO 6077374235 2020-11-10 162.223.206.130 2019 2021-01-29 14:40:06Z JONATHAN LAWRENCE 600 ROE AVE ELMIRA NY 14905 373406670 0 X www.arnothealth.org X 1889 NY Arnot Ogden Medical Center is a community based hospital with an open emergency room and selected highly specialized services that are part of a high quality health care delivery system that serves Chemung County, NY and the Twin Tier Regions of New York and Pennslyvania. 16 14 3473 306 -49708 0 1621427 3707477 293061082 343736840 6513230 8426798 2349804 4556205 303545543 360427320 0 0 0 0 214312410 234030490 0 0 0 99129571 129811464 313441981 363841954 -9896438 -3414634 245287150 275524187 106721435 134829730 138565715 140694457 X Arnot Ogden Medical Center is a not-for-profit, 225-bed tertiary medical facility with more than 115 physicians from over 50 specialties. Arnot Ogden Medical Center offers specialty services at the Wilmot Cancer Center, Heart and Vascular Institute, Stroke Care, Maternity, Surgery. St Joseph's Hospital, merged with Arnot Ogden in March 2019, offers a Behavioral Science Unit, Acute Rehabilitation Unit, and Skilled Nursing Facility with some similar program services as Arnot Ogden offers. 1 0 295765127 0 341749596 The Arnot Ogden Medical Center continues to provide of health care related services since it opened in 1889, serving Chemung County and the Twin Tier Regions of New York and Pennsylvania. The Medical Center specialized in the fields of Cardiology, Oncology, Renal, Neonatology, Bariatric and Emergency Care. Other sub specialized services include, but are not limited to, Anesthesiology, Surgery, Laboratory, Imaging, Physical Therapy, Obstetrics, and Gynecology. In 2018, the Medical Center's 2,172 Full-time equivalent of employees cared for 10,921 inpatient admissions in its 225 staffed beds. The Medical Center provided Outpatient Services to approximately 321,215 Outpatient Visits in its subspecialty services. The approximately 120 Full-time equivalents of physicians provided for 320,202 office visits in the areas of primary care and specialty services. 890894 0 312138 The Arnot Ogden Medical Center School of Nursing began in 1889 and continues to offer a three year diploma program, while migrating over to offering a two-year associate program, both accredited by the National League for Nursing with approximately 32 students enrolled between both programs in 2019. The Arnot Ogden School of Radiologic Sciences began in 1953 continues to offer a two-year certificate program, which is accredited by the Joint Review Commission on Education in Radiologic Technology with approximately 18 students enrolled in 2019. Upon completion of their program of study, students are eligible to take the NYS licensing examinations for Registered Nurse or Radiologic Technologist. 0 0 0 296656021 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 186 0 1 3473 1 1 1 0 0 0 0 0 0 0 X 16 14 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 NY X STEPHEN KENNEY 6072717037 600 ROE AVENUE ELMIRA NY 14905 Nche Zama MD Cardiothoracic Surgeon 65 0 X 998216 0 17868 Vidyasagar Mokureddy MD Pain Mgmt Physician 45 0 X 947413 0 39849 Bruno Mazza MD Gastoentrologist 45 0 X 786038 0 19421 Matthew Brand MD Orthopediac Surgeon 65 0 X 759063 0 39849 Ravi Akula MD Cardiologist 50 0 X 726771 0 39849 Jonathan Lawrence President & Chief Executive Officer 50 20 X 611246 0 26225 Robert Lambert MD President & Chief Executive Officer 0 0 X 564818 0 14000 Pallavi Kamjula MD Chair Department of Medicine 45 0 X X 403466 0 31124 Ronald J Kintz DHA CFO/Senior VP 40 20 X 354785 0 14000 Roberto deBara MD President AMS 0 0 X 333186 0 23084 Kenneth HerzlBetz MD Chief Medical Officer/Senior VP 48 5 X 321088 0 32688 Sandra McCarthy PhD Chief Nursing Officer 32 8 X 262942 0 32303 Mary Vosburgh VP of Nursing 40 10 X 189414 0 32408 Steve Simmons Senior VP of Human Resources 30 10 X 201727 0 7112 Craig Wilhelm Chief Information Officer 35.00 10 X 180352 0 6199 Donald Quick CPA Board Member / Chairman 2 0 X 0 0 0 Mark J Hagen Board Member/Vice-Chairman 2 0 X 0 0 0 Jan van den Blink Board Member/Vice-Chairman 2 0 X 0 0 0 John R Alexander Esq Secretary 1 0 X 0 0 0 Dr Jeffrey W Evenson PhD Board Member 1 0 X 0 0 0 Michael Hosey Board Member 1 0 X 0 0 0 John MacMahon Board Member 1 0 X 0 0 0 Robert McNamara Board Member 1 0 X 0 0 0 Richard Simons Board Member 1 0 X 0 0 0 Jeffrey Streeter Board Member 1 0 X 0 0 0 Anders Tomson Board Member 1 0 X 0 0 0 Louis DiFabio Board Member 1 0 X 0 0 0 Dr Joyce Carr Board Member 1 0 X 0 0 0 Patricia Baroody Board Member 1 0 X 0 0 0 Kevin DeLuca MD Board Member/President Medical Staff 1 0 X 0 0 0 7640525 0 375979 271 1 1 0 Associated Anesthesiologists of Finger Lakes P O Box 1253 Elmira NY 149021253 Anesthesiology Physician Services 2344942 FocusOne Solutions LLC PO Box 3037 Omaha NE 68103 Medical Staffing-Contracted 1960654 Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Medical Staffing-Contracted 1560214 Medical Solutions PO Box 310737 Des Moines IA 50331 Clinical Staffing-Contracted 1722549 NES Medical Services of NY PC PO Box 936451 Atlanta GA 31193 Medical Staffing-Contracted 980081 5 0 0 0 0 1173183 2534294 0 3707477 Net Patient Service Rev Hospital 622110 301483193 301483193 0 0 Net Patient Service Rev Physicians 621110 34675748 34675748 0 0 School of Nursing 611600 240713 240713 0 0 School of Radiology 611600 71425 71425 0 0 Rx 340B Revenue 622110 7265761 7265761 0 0 0 0 0 0 343736840 2921050 0 0 2921050 0 0 0 0 0 0 0 0 477657 0 217912 0 259745 0 259745 0 -49708 309453 15905701 19184 10419137 0 5486564 19184 5505748 0 0 5505748 139461 0 26816 112645 0 112645 0 0 0 0 0 0 908645 2315485 -1406840 0 0 -1406840 PENSION RELATED INCOME 900099 1401983 1401983 0 0 REBATES/DISCOUNTS 900099 301760 301760 0 0 DELIVERY SYSTEM REFORM INCENTIVE 921190 1795343 1795343 0 0 2091569 2091569 0 0 5590655 360427320 349327495 -49708 7442056 0 0 0 0 0 0 0 0 3095804 0 3095804 0 0 0 0 0 172706056 145400689 27305367 0 5760556 360 5760196 0 41412034 19289 41392745 0 11056040 8919864 2136176 0 3234301 1863561 1370740 0 383270 4695 378575 0 97371 0 97371 0 2700 0 2700 0 0 0 117493 0 117493 0 20082237 19253909 828328 0 993671 8982 984689 0 4584136 2762197 1821939 0 7453166 4360043 3093123 0 0 0 0 0 3579298 654110 2925188 0 693564 566554 127010 0 0 0 0 0 336511 293160 43351 0 1174317 0 1174317 0 0 0 0 0 14035631 6779757 7255874 0 2718372 1911809 806563 0 Medical/Surgical/Pharmaceutical Supplies 56720540 56624688 95852 0 Maintenance Contracts/Purchased Svcs 13401208 8577089 4824119 0 Benefit Allocation 0 38995451 -38995451 0 Allocation of Expense to Affiliates -4151333 -2061436 -2089897 0 4355011 1721250 2633761 0 363841954 296656021 67185933 0 12843 33249 5361892 11492326 45232 281607 26704663 37727691 0 0 0 0 632105 3503966 1910577 2306880 1676456 2678890 374316384 260940430 101706650 113375954 61557017 60541881 0 0 0 0 0 0 45679715 43581743 245287150 275524187 27079080 32262342 0 0 124212 68775 25469144 24116200 0 0 0 0 6302043 7113643 0 0 47746956 71268770 106721435 134829730 X 127916783 129274620 10648932 11419837 138565715 140694457 245287150 275524187 X -3414634 1092006 0 117493 3147669 1186208 X 1 X 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2700 2700 0 Schedule C, Part II-B, Line 1 Arnot Ogden Medical Center pays annual dues to Pandion, of which a percentage is for lobbying fees. 2984490 32900 0 0 0 0 3017390 2980990 3500 0 0 0 0 2984490 2976955 4035 0 0 0 0 2980990 2969755 7200 0 0 0 0 2976955 3093934 0 0 0 124179 0 2969755 0 1 0 0 1 1 0 7815458 7815458 1642759 155343457 93589286 63396930 0 1371813 858703 513110 0 204407351 163336161 41071190 0 3735546 3156280 579266 113375954 DUE FROM RELATED PARTIES 5888646 INTEREST IN NET ASSETS OF FOUNDATIONS 25331021 457 PLAN INVESTMENT FUNDS 8539724 BOND PAYMENT FUND 715159 SELF INSURANCE RESERVE FUND 1798255 A/R WORKERS COMP EXCESS INSURANCE 1308938 43581743 0 MINIMUM PENSION LIABILITY 22685187 NOTE PAYABLE-AOMC FOUNDATION INVESTMENT 20831441 457 PLAN LONG-TERM LIABILITY 8535817 WORKERS COMPENSATION LONG TERM RESERVE 3626553 MALPRACTICE LIABILITY RESERVE 4424981 NOTE PAYABLE FOSTERHOUSE PRACTICE PURCHASE 616005 THIRD PARTY LIABILITIES 6143838 NOTE PAYABLE SJH FUNDS INVESTMENT 342667 COVENANT TO COMPETE DAVITA DIALYSIS 185625 OTHER LONG-TERM LIABILITIES 3415339 DUE TO RELATED PARTIES 461317 71268770 X 360453239 0 0 0 2560213 2560213 357893026 0 2534294 2534294 360427320 366284674 0 0 0 2560213 2560213 363724461 117493 0 117493 363841954 Schedule D, Part V, Line 4 The organization has interpreted the NYS Prudent Management of Institutional Funds Act Law, NYPMIFA as requiring the preservation of the historical dollar value of the corpus of the permanent restricted endowment funds absent of donor stipulations to the contrary. The net appreciation of the permanently restricted net assets is considered temporarily restricted net assets until those amounts are appropriated for expenditure by the organization in a manner consistent with the standard of prudence prescribed by NYPMIFA. If the fair value of the investments assets falls below the level of the donor, NYPMIFA requires the Center to retain the fund in perpetual duration. There was no such deficiencies as of December 31, 2019. To ensure the preservation of the corpus of the permanently restricted endowment funds, the total fair value of all comingled investment assets are classified first to the level of the permanently restricted endowment funds corpus, an endowment fund deficiency receivable from the unrestricted net assets would be recognized until the deficiency is recovered. Schedule D, Part X, Line 2 Arnot Ogden Medical Center is organized as not-for-profit corporations as described in Section 50(c)(3) of the Internal Revenue Code and accordingly, are exempt from Federal Income taxes on related income pursuant to Section 501(a) of the Code. The organization accounts for uncertain tax positions in accordance with U.S. GAAP, which requires the recognition and measurement of uncertain tax positions that the Organization has taken or expects to take in the Organization's tax returns. Management believes there are no significant uncertain tax positions not reflected in the accompanying consolidated financial statements as of December 31, 2019 and 2018. Schedule D, Part XI, Line 2d Expenses deducted from Revenue; Rental Expenses $217,912, Nutritional Services Expenses $2,315,485 and Children's Miracle Network fundraising expenses of $26,816. Schedule D, Part XI, Line 4b Arnot Ogden Medical Center and Arnot Ogden Children's Miracle Network donations to purchase capital equipment in the amount of $2,534,294 has been re-classed from Net Assets for 990 Reporting. Schedule D, Part XII, Line 2d Expenses moved to offset Revenue; Rental Expenses $217,912, Nutritional Services Expenses $2,315,485 and Children's Miracle Network fundraising expenses of $26,816. GOLF TOURNAMENT 62399 0 62399 0 2520 11216 5718 0 1669 RADIOTHON 61917 0 61917 0 0 0 287 225 202 1 15145 0 15145 0 0 0 2446 1800 733 139461 0 139461 0 2520 11216 8451 2025 2604 26816 112645 1 1 X 1 X 1 X 1 1 0 1 1 0 1275 1971548 12517 1959031 0.0054 0 10987 10083536 5167668 4915868 0.0134 0 0 0 0 0 0 0 12262 12055084 5180185 6874899 0.0188 23 280842 1245978 5735 1240243 0.0034 4 1570 1326357 447073 879284 0.0024 0 0 34270492 25174588 9095904 0.0248 0 0 0 0 0 0 2 54483 4405 0 4405 0 29 336895 36847232 25627396 11219836 0.0306 29 349157 48902316 30807581 18094735 0.0494 0 0 0 0 0 0 0 0 0 0 0 0 1 230000 3487 0 3487 0 0 0 0 0 0 0 1 50000 70692 0 70692 0 1 50034 3613 0 3613 0 1 1425 2235 0 2235 0 0 85000 294887 0 294887 0 0 0 0 0 0 0 4 416459 374914 0 374914 0 0 17924895 828595 190184406 212364375 -22179969 X 1 1 Ivy Street Development Corp Third-Party Collections Service 1 0 0 1 1 Arnot Ogden Medical Center 600 Roe Avenue Elmira NY 14905 www.arnothealth.org 0701000H X X X X Hospital with Open Emergency Room. A 2 Arnot Ogden Medical Center Health Center for Women 600 Fitch Street Elmira NY 14905 www.arnothealth.org X Hospital Extension Clinic - Diagnostic Radiology A 3 Arnot Ogden Medical Center Horseheads Campus 100 John Rommelt Drive Horseheads NY 14845 www.arnothealth.org X Clinical Laboratory Service & Radiology Diagnostic Outpatient. A A 0 0 1 X X X X X X X X 16 1 1 1 1 X www.arnothealth.org X 1 16 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 X 0 X X X X 1 0 0 Schedule H, Part V, Section B, Line 5-Group A 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-Group A 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-Group A 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 7d-Group A 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 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-Group A 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 in both Chemung County and 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 6a The Community Service Plan explains in detail the involvement of members of the community in determining & identifying community needs. 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. It is available on our website, www.arnothealth.org. Schedule H, Part I, Line 7 Arnot Health 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 During the 2019 calendar year, Arnot Ogden Medical Center conducted the following programs that had community benefit and created the expenses associated with our filing: Telehealth, Childbirth and Breastfeeding classes and education, Healthy Kitchens classes in the community, HIV and PREP Community Partners Meetings, HIV Testing Day Event, MASH Camp for High School Students seeking education in the healthcare fields, Blood Pressure and Diabetes Screenings, Breast Cancer and Skin Cancer Screenings for Underinsured and Uninsured, Cardiovascular Screenings through the Dare to Care Program, Home Visits, Flu Shot Clinics, Cancer Treatment Transportation Services, Creating Healthy Schools and Communities. 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 increased from 10.92 percent of gross accounts receivable at December 31, 2018 to 12.10 percent of gross accounts receivable at December 31, 2019. In addition, the Organizations bad debt write-offs increased approximately 3,785,000 from approximately 14,349,000 for fiscal year ended 2018 to approximately 18,134,000 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 Health 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 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. 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's three hospitals are located in two counties. Arnot Ogden Medical Center and St. Joseph's Hospitals are located in Chemung County; Ira Davenport Memorial Hospital is situated in Steuben County. Together, Chemung and Steuben Counties make up approximately 1,801 square miles of geographical area in the Southern Tier of New York. The City of Elmira serves as Chemung County's seat and the primary metropolitan area. The county is characterized as 76 percent urban and 24 percent rural. Steuben County is a rural county, and with a land area of 1,393 miles, it is the seventh largest county in NYS. (http://www.city-data.com/county/Chemung _County-NY.html) X 1 1 X X X X X 1 0 0 0 0 0 0 0 0 Nche Zama MD Cardiothoracic Surgeon 1000000 0 0 0 0 0 9604 0 8264 0 1017868 0 0 0 Vidyasagar Mokureddy MD Pain Mgmt Physician 950000 0 0 0 0 0 14000 0 25849 0 989849 0 0 0 Bruno Mazza MD Gastoentrologist 671075 0 115581 0 0 0 9604 0 9817 0 806077 0 0 0 Matthew Brand MD Orthopediac Surgeon 723506 0 37741 0 0 0 14000 0 25849 0 801096 0 0 0 Ravi Akula MD Cardiologist 728385 0 0 0 0 0 14000 0 25849 0 768234 0 0 0 Jonathan Lawrence President & Chief Executive Officer 553846 0 63493 0 0 0 9604 0 16621 0 643564 0 0 0 Robert Lambert MD President & Chief Executive Officer 0 0 564818 0 0 0 14000 0 0 0 578818 0 0 0 Pallavi Kamjula MD Chair Department of Medicine 398416 0 7750 0 0 0 31124 0 0 0 437290 0 0 0 Ronald J Kintz DHA CFO/Senior VP 356428 0 1299 0 0 0 14000 0 0 0 371727 0 0 0 Roberto deBara MD President AMS 0 0 337500 0 0 0 0 0 23084 0 360584 0 0 0 Kenneth HerzlBetz MD Chief Medical Officer/Senior VP 274154 0 51248 0 0 0 9604 0 23084 0 358090 0 0 0 Sandra McCarthy PhD Chief Nursing Officer 257036 0 11764 0 0 0 9220 0 23084 0 301104 0 0 0 Mary Vosburgh VP of Nursing 187616 0 3608 0 0 0 6559 0 25849 0 223632 0 0 0 Steve Simmons Senior VP of Human Resources 207350 0 0 0 0 0 7112 0 0 0 214462 0 0 0 Craig Wilhelm Chief Information Officer 180724 0 0 0 0 0 6199 0 0 0 186923 0 0 0 Schedule J, Part I, Line 1a The CEO has his dues paid at the Elmira City Club. The personal use portions is reported under Taxable Income. Schedule J, Part I, Line 3 Compensation for the president and vice president is set pursuant to a policy and compensation philosophy adopted by the board. The Board has a compensation committee consisting of outside directors (Board members are referred to managers). The Compensation committee uses a consultant to advise them 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 of discussion in the room. This action is then reviewed with the entire board also in executive session. Schedule J, Part I, Line 4 Roberto deBara, former MD President of Arnot Medical Services, and Robert Lambert, former President and CEO of Arnot Health, both received severance pay in 2019 for $333,186 and $564,818 respectively. A Chemung County Capital Resource Corp 611684035 000000000 2015-06-25 29410000 Payoff Series A & B Bonds/Energy Infrastructure Upgrade 0 0 0 A 5293800 0 29410000 0 0 0 847745 0 0 8066714 0 0 2015 1 0 1 1 A 0 0 0 0 0 0 0 1 0 1 A 0 0 0 0 1 0 0 0 1 Kevin Deluca Physician wih Associated Radiologists of the Finger Lakes 2344942 Provides anesthesia services to Arnot Ogden Medical Center 0 Jeffrey Streeter Owner of Streeter Associates 1850337 Streeter Associates performs construction services to Arnot Ogden Medical Center 0 Louis DeFabio Executive Officer of Chemung Canal Trust Company 248351 Competitively bids loans 0 Form 990, Part III, Line 2 With the merge of St. Joseph's Hospital, a related-organization listed on Schedule R, into Arnot Ogden Medical Center, the new services under Arnot Ogden now include Behavioral Science Unit, Acute Rehabilitation Unit, and a Skilled Nursing Facility, along with all other program services conducted at St. Joseph's Hospital. Form 990, Part VI, Section B, Line 11b Upon completion of the Form 990 it is reviewed by the Medical Center's Senior Vice President of Finance and then made available to the Audit and Finance Committees of the Board of Managers. The return 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 are required annually to file a Disclosure Statement setting forth any respect in which such a person, or any person associated with such person, has or may have any interest in a transaction in which there may be, or appear to be, a conflict between the interests of such person and the Arnot Ogden Medical Center. An Associate included (1) a spouse, a descendant or an ancestor, or a spouse of a descendant or ancestor; (2) an organization in which the person or an associate is a partner or employee, or such person or an associate owns a more that 10% beneficial interest; (3) a trust in which such a person is a trustee, or such person or an associate holds a more than 10% beneficial interest; and (4) a corporation in which such person or an associate is an officer or director or employee, or such person or an associate is an owner of more that 10% of any class of securities. Form 990, Part VI, Section B, Line 15 Compensation for the President and Vice Presidents are set pursuant to a policy and compensation philosophy adopted by the Board of Managers. The Board has a Compensation Committee consisting of outside directors. The Compensation Committee uses a consultant to advise it on compensation for the officers. The consultant collects and reports compensation on similar positions in similar nonprofit hospitals from upstate New York and Western Pennsylvania. The Compensation Committee recommends adjustments to the Executive Committee of the Board which reviews the recommendations and approves or disapproves without employees in the room. This action then is reviewed with the entire Board also in executive session. Form 990, Part VI, Section C, Line 19 Upon request the 990 Form is made available to the public and also via www.guidestar.com. Financial Statements are posted to the Electronic Municipal Market Access website. Form 990, Part XI, Line 9 Change in net Assets of Arnot Ogden Medical Center Foundation $2,162,677; Pension Charge to Equity ($3,255,612); Net Assets Released from Restriction $280,626; Realized Gain/Loss on Temp Restricted Investments ($280,234); Capital Funding Donations $2,253,668 Arnot Ogden Medical Center Foundation Accounting Dept 600 Roe Avenue Elmira NY 14905 161109472 Contribution Management NY 501(c)(3) 11B N/A 0 Arnot Ogden Medical Center Auxiliary 600 Roe Avenue Elmira NY 14905 510192902 Fund Raising NY 501(c)(3) 11B N/A 0 Ira Davenport Memorial Hospital Inc Accounting Dept 7571 State Route 54 Bath NY 14810 160835446 Affiliate NY 501(c)(3) 3 N/A 0 Keuka Health Care Foundation Accounting Dept 7571 State Route 54 Bath NY 14810 161461215 Affiliate NY 501(c)(3) 11B N/A 0 St Josephs Hospital Accounting Dept 555 St Josephs Blvd Elmira NY 14901 160743163 Affiliate NY 501(c)(3) 3 Arnot Ogden Medical Center 0 Arnot Health 600 Roe Avenue Elmira NY 14845 453049405 Parent Organization NY 501(c)(3) 11B Arnot Ogden Medical Center St Josephs Hospital 0 Ivy Street Development Corporation 600 Ivy Street Elmira NY 14905 161009245 Real Estate NY N/A C 1 0 1 0 1 0 0 0 0 0 1 0 0 1 1 1 1 1 1 0 0 Arnot Ogden Medical Center Foundation o 102012 Arnot Ogden Medical Center provided paid employees to the Arnot Ogden Medical Center Foundation to perform accounting, administrative and materials management functions. The method of determining the amount involved was cost. Ivy Street Development Corporation o 37848 Arnot Ogden Medical Center provided paid employees to Ivy Street Development Corporation to perform property management services. The method of determining the amount involved was cost. Ivy Street Development Corporation p 66450 Arnot Ogden Medical Center was reimbursed by Ivy Street Development Corporation for maintenance and insurance expense. The method of determining the amount involved was cost. Ivy Street Development Corporation k 343530 Arnot Ogden Medical Center leased facilities from Ivy Street Development Corporation. The method of determining the amount involved was cost. Ira Davenport Memorial Hospital Inc o 3241556 Arnot Ogden Medical Center provided paid employees to Ira Davenport Memorial Hospital to perform accounting, administrative, management information services, and various medical services. The method of determining the amount involved is cost. St Josephs Hospital o 4195484 Arnot Ogden Medical Center provided paid employees to St. Joseph's Hospital to perform accounting, administrative, management information services, and various medical services. The method of determining the amount involved is cost. Form 8868 Application for Extension of Time to File was filed and approved with a notice date of June 29,2020. The new due date is November 15, 2020.